Innovative Systems Approaches to Healthcare Systems

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

Deadline for manuscript submissions: 22 August 2025 | Viewed by 1263

Special Issue Editor


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Guest Editor
School of Health Policy and Management, York University, Toronto, ON M3J 1P3, Canada
Interests: implementation science; healthcare management; patient care; complexity science; complex adaptive systems

Special Issue Information

Dear Colleagues,

Today’s challenges demand an appreciation of interconnectivities between systems and an understanding of how our healthcare systems are impacted by other systems, such as economic, sociocultural, and ecological, that may constrain or facilitate their efficacy. We have witnessed a heightened awareness of healthcare system failures that are threatening population health through events including, but not limited to, changes in climate, the spread of disease to pandemic levels, food uncertainty, malnourishment, population displacement, socioeconomic disparities, and poor mental health. In this Special Issue, we aim to gain a better understanding of system failures as they pertain to health. A connectivist approach that pays mindful attention to interdependencies not only within but across systems must be used to identify and frame problems, evaluate and synthesize evidence, and shape solutions. As such, we invite contributions that will challenge and reframe traditional ways of thinking, open space to share ideas through critical debate, inspire new possibilities, and celebrate the contributions being made towards the improvement of health systems worldwide. We wish to explore and better understand how we may create systems that can proactively address and adapt to current and future health challenges.

Submissions that address a broad range of topics are welcomed, including, but not limited to, the following:

  • Challenges and opportunities in healthcare interdependence and how they may affect healthcare systems;
  • How the principles of systems thinking and complexity may be applied to strengthen health systems;
  • Adaptive and self-organizing systems;
  • Contributions of primary care to health systems and health;
  • Novel data collection tools and methods;
  • Multi-level networks in healthcare systems;
  • Policy implications associated with intersectoral healthcare interventions.

We look forward to your contributions. 

Dr. Peter Tsasis
Guest Editor

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Keywords

  • health system complexity
  • interconnected networks
  • multidisciplinary perspectives
  • integrated solutions
  • systems theory
  • interdependencies
  • system failures
  • complex adaptive systems

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Published Papers (1 paper)

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Research

23 pages, 3564 KiB  
Article
Serious Game Design for Teaching University Students to Address Complexity Issues in the Healthcare Logistics System: Lessons from an Emergency Department Case Study
by Yan Sun and Chen Zhang
Systems 2025, 13(3), 197; https://doi.org/10.3390/systems13030197 - 12 Mar 2025
Viewed by 826
Abstract
As pioneers in this field, our role in shaping the future of serious games in healthcare logistics is crucial. Digital media design significantly influences the quality of gaming simulation studies in healthcare. The leading challenge scholars face is introducing innovative and valuable features [...] Read more.
As pioneers in this field, our role in shaping the future of serious games in healthcare logistics is crucial. Digital media design significantly influences the quality of gaming simulation studies in healthcare. The leading challenge scholars face is introducing innovative and valuable features to university students. The data–simulation–gaming pyramid could serve as a blueprint for outlining how interactive simulations could be conducted. A participatory design process is important in serious game development. More recently, the literature has illustrated the contribution of extended reality. However, researchers have not explored this research framework in detail. This paper traces the participatory design process of serious games using an emergency logistics case study in Stockholm, Sweden. It underscores the importance of choosing the correct narratives and game mechanics to support the implementation of serious games using extended reality for the demonstration of non-technical skills. The research findings are threefold. (1) The participatory design process helps to place focus on the implementing philosophy that values health equality in networked hospitals. (2) Further analysis reveals that gamification could turn everyday tasks in the emergency department, which represents a stressful workplace in a hospital, into a spectrum of learning experiences for in-demand skills, including situational awareness, leadership, communication, and ethical thinking. (3) A closer inspection of the reality-changing methods shows new requirements to shorten patient queues before and after the (implementation of the) strengthened waiting time guarantee proposal in 2024. There is abundant room for principals in healthcare institutions to implement reality-changing methods to foster collaboration at the departmental, cross-departmental, and cross-institutional levels. Full article
(This article belongs to the Special Issue Innovative Systems Approaches to Healthcare Systems)
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