Systems Thinking and Healthcare Communities: A Community Approach to Transforming Healthcare

A special issue of Systems (ISSN 2079-8954). This special issue belongs to the section "Systems Practice in Social Science".

Deadline for manuscript submissions: 31 March 2026 | Viewed by 1879

Special Issue Editors


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Departament de Projectes d’Enginyeria, Universitat Politècnica de Catalunya (UPC-BarcelonaTech), Av. Diagonal, 647, 08028 Barcelona, Spain
Interests: collective intelligence; collaborative innovation; real-time Delphi; generative AI

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Guest Editor
Business School, Manchester Metropolitan University, All Saints Campus, Manchester M15 6BH, UK
Interests: literacy health and planetary health in Latin America; applying circular economy systemic principles to food waste management; promoting ecological and environmental awareness in HEIs; interdisciplinary approaches to research climate emergency
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Special Issue Information

Dear Colleagues,

The healthcare sector is increasingly grappling with complexity arising from evolving patient needs, rapid technological advancements, intricate organizational structures, and a complex regulatory environment. This Special Issue of Systems aims to explore how systems thinking can profoundly support the challenging process of transforming healthcare to achieve better outcomes. Specifically, there is significant potential in applying systems thinking to the community dimension of healthcare, where diverse, holistic solutions can address these multifaceted challenges. The integrative framework of systems thinking may aid not only in understanding the dynamics of healthcare but also help in analyzing its future scenarios.

By conceptualizing healthcare as an interconnected system of patients, providers, technologies, policies, and communities, systems thinking enables stakeholders to identify patterns, anticipate unintended consequences, and design integrated strategies that improve health outcomes. This approach emphasizes the role of healthcare communities—comprising all individuals and organizations involved in health promotion and service delivery within a specific population or region—in fostering collaborative and efficient healthcare delivery.

By advancing the understanding of how systems thinking can drive sustainable innovation and efficiency in healthcare through community strategies, this Special Issue seeks to enrich the critical discourse on transforming healthcare systems. We encourage contributions that offer theoretical frameworks, empirical research, and insightful analyses to deepen our knowledge of this crucial area.

We invite submissions including the following:

  • Community Engagement and Empowerment: Strategies for involving patients and community members in healthcare decision-making processes.
  • Integration of Healthcare Services: Systemic approaches to coordinating care across hospitals, clinics, and community organizations to create cohesive healthcare communities.
  • Policy and Regulatory Frameworks: Explore and investigate ways as to how systems thinking can inform policy development to support community-based healthcare initiatives.
  • Technological Innovations: Exploration of digital health tools and their systemic impact on community health and care delivery.
  • Health Disparities and Equity: Utilizing systems thinking to address and reduce health and gender inequalities within communities.
  • Health Education, Health Literacy Education and Capacity Building: The role of systems thinking in training healthcare professionals and empowering community health workers.
  • Case Studies and Best Practices: Empirical studies highlighting successful implementations of systems thinking in healthcare communities.
  • Challenges and Limitations: Critical analyses of the obstacles in applying systems thinking within healthcare communities and potential solutions.
  • Technology-Based Systems Thinking: Application of emerging technologies to develop new systems thinking techniques and strategies.
  • Systemic approaches and frameworks to explore the complexity and multidimensionality of health and digital literacy and its impact in communities.

Dr. Josep María Monguet-Fierro
Prof. Dr. Alberto Paucar-Caceres
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Systems is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • systems
  • healthcare
  • communities
  • innovation
  • integration
  • policy
  • technology
  • equity
  • health education
  • engagement
  • health literacy

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Published Papers (2 papers)

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Research

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16 pages, 502 KB  
Article
The Influence of Organisational Readiness on Knowledge Translation and Implementation of Innovation in a Social Hospital: A Case Study
by Hugo Barreto, Filomena Maia, Ana Catarina Ferreira and Rui Pereira
Systems 2025, 13(10), 908; https://doi.org/10.3390/systems13100908 - 16 Oct 2025
Viewed by 523
Abstract
Healthcare organisations recognise the need to deliver higher-quality, evidence-based care. Thus, managers need to improve their practice regarding managing and translating knowledge. Knowledge Translation faces diverse barriers that must be identified and addressed. Therefore, perceptions from 138 nurses at a social hospital were [...] Read more.
Healthcare organisations recognise the need to deliver higher-quality, evidence-based care. Thus, managers need to improve their practice regarding managing and translating knowledge. Knowledge Translation faces diverse barriers that must be identified and addressed. Therefore, perceptions from 138 nurses at a social hospital were gathered using a pilot European Portuguese version of the Organisational Readiness for Knowledge Translation (OR4KT) instrument, to assess the organisation’s readiness to translate knowledge and implement change. Dimensions scores revealed the institution’s strengths in dimensions such as Organisational Climate for Change (36.25) and Organisational Support (35.85), but also exposed the need to improve Motivation (32.95) and Change Content (33.13). The overall score settled at 62.72, normalised on a 0 to 100 scale. The variable, “Professional Recognition,” was created to account for the high proportion of Specialist Nurses who were not integrated into the professional career structure, revealing that formally recognised specialists reported significantly different perceptions across the organisational culture dimensions. The results indicate that the organisation has a solid foundation for knowledge translation, though its readiness remains below the optimal level. Full article
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Review

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19 pages, 1153 KB  
Review
Systems Thinking and Human Resource Management in Healthcare: A Scoping Review of Core Applications Across Health System Levels
by Victoria Babysheva, Elena Neiterman, Philip Bigelow and Jennifer Yessis
Systems 2025, 13(11), 1001; https://doi.org/10.3390/systems13111001 - 9 Nov 2025
Viewed by 624
Abstract
Background: Systems thinking (ST) is an approach to problem-solving that views systems through a holistic perspective, focusing on the interconnections and relationships between various elements. In healthcare, the World Health Organization’s 2009 report marked a paradigm shift toward ST, prompting the development and [...] Read more.
Background: Systems thinking (ST) is an approach to problem-solving that views systems through a holistic perspective, focusing on the interconnections and relationships between various elements. In healthcare, the World Health Organization’s 2009 report marked a paradigm shift toward ST, prompting the development and use of ST tools to address complex challenges. Despite this, limited attention has been given to ST’s application in healthcare human resource management (HRM). This paper aims to provide a scoping review of ST application in healthcare HRM to explore its value in workforce management. Methods: Following Arksey and O’Malley’s framework, a scoping review was conducted to map how ST has been applied in healthcare HRM. Peer-reviewed articles published between 1999 and December 2024 were identified through Scopus and PubMed, using search terms such as systems thinking, human resources, and workforce. Data were extracted using a structured tool, and findings were analyzed through the lens of the system level of application. Results: The review identified 19 studies from 15 countries, with the majority using qualitative or mixed methods approaches across diverse settings. Core applications were applied at the macro, meso, and micro system levels to address workforce challenges, map feedback loops, identify leverage points, and strengthen stakeholder collaboration. ST was commonly applied at regional and national levels and supported improved workforce planning, policy development, and service coordination. Most studies employed soft systems modeling. Conclusions: This review highlights ST’s potential to enhance HRM by recognizing interdependencies across workforce functions. Findings suggest that ST enables more integrated strategies, promotes collaboration, and supports systemic decision-making. The adoption of ST in healthcare HRM may address persistent workforce challenges, though implementation remains limited by reductionist perspectives and unfamiliarity with ST tools. Full article
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