Jump to ContentJump to Main Navigation
Dissemination and Implementation Research in HealthTranslating Science to Practice$
Users without a subscription are not able to see the full content.

Ross C. Brownson, Graham A. Colditz, and Enola K. Proctor

Print publication date: 2012

Print ISBN-13: 9780199751877

Published to Oxford Scholarship Online: May 2012

DOI: 10.1093/acprof:oso/9780199751877.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a monograph in OSO for personal use (for details see www.oxfordscholarship.com/page/privacy-policy).date: 21 July 2019

Systems Thinking in Dissemination and Implementation Research

Systems Thinking in Dissemination and Implementation Research

Chapter:
(p.175) 9 Systems Thinking in Dissemination and Implementation Research
Source:
Dissemination and Implementation Research in Health
Author(s):

Bev J. Holmes

Diane T. Finegood

Barbara L. Riley

Allan Best

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199751877.003.0009

The common response to the public health issues that plague society is to eliminate, or at least reduce, their complexity. This chapter suggests that a more productive response is to acknowledge complexity, and to design and study solutions that address it. In support of this view, it presents systems thinking as an approach to intervene in and study health issues such as obesity and chronic disease—complex problems in the sense that they are unpredictable and influenced by many interacting and multilevel variables. First, the chapter briefly reviews the evolution of dissemination and implementation (D&I) health research, revealing an increasing recognition of complexity. It then introduces the notion of “systems”—what they are, and why an understanding of them is critical to improved health and health care through dissemination and implementation. Systems thinking is then described and its implications explored, with two in particular expanded on: the need to rethink cause and effect, and the importance of considering different levels of intervention. Obesity is presented as an example of an issue whose complexity demands a systems approach in order to address it meaningfully. The final section of the chapter demonstrates systems thinking in action, using the examples of two new Canadian projects, funded by the Canadian Partnership Against Cancer, based on such an approach: Youth Excel and The CAPTURE Project.

Keywords:   public health, systems thinking, obesity, chronic disease, health research

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .