Covid-19; Pandemic preparedness and response; Systems thinking; Transdisciplinarity; Health Policy
Abstract :
[en] Whilst policymaking will always remain a highly political process, especially amidst crises, evidence-based pandemic management can benefit from adopting a socioecological perspective that integrates multi- and trans-disciplinary insights: from biology, biomedicine, mathematics, statistics, social and behavioural sciences, as well as the perspectives and experiences of non-scientific stakeholders. We make a case for an “integrated inter- and transdisciplinarity” that overcomes the typical additive nature of current interdisciplinary work and better captures the inherent complexity of public health and other public policy problems. We propose systems science and systems thinking approaches as a useful meta-theoretical, self-reflecting approach for such integration to take place. Enabled by systems thinking, the praxis of “integrated inter- and transdisciplinarity” allows for an understanding of public health crises in a human-centred socio-ecological perspective. This grounds more holistic policy responses, which by mobilising the whole of government and whole of society, put individuals, groups, governments and society at large in critical dialogue to co-produce and co-design interventions that address crises in all their physical, social, psychological, economic and political dimensions.
Disciplines :
Public health, health care sciences & services Philosophy & ethics
Author, co-author :
Mormina, Maru
Müller, Bernhard
Caniglia, Guido
Engebretsen, Eivind
Löffler-Stastka, Henriette
Marcum, James
Mercuri, Mathew
Paul, Elisabeth ; Université de Liège - ULiège > Département de droit > Droit fiscal
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Bibliography
A. Arnold A. Cafer J. Green S. Haines G. Mann M. Rosenthal Perspective: Promoting and fostering multidisciplinary research in universities Res Policy 2021 50 9 104334 10.1016/j.respol.2021.104334
C. Arsenault A. Gage M.K. Kim N.R. Kapoor P. Akweongo F. Amponsah A. Aryal D. Asai J.K. Awoonor-Williams W. Ayele P. Bedregal S.V. Doubova M. Dulal D.D. Gadeka G. Gordon-Strachan D.H. Mariam D. Hensman J.P. Joseph P. Kaewkamjornchai M.K. Eshetu S.K. Gelaw S. Kubota B. Leerapan P. Margozzini A.D. Mebratie S. Mehata M. Moshabela L. Mthethwa A. Nega J. Oh S. Park Á. Passi-Solar R. Pérez-Cuevas A. Phengsavanh T. Reddy T. Rittiphairoj J.C. Sapag R. Thermidor B. Tlou F. Valenzuela Guiñez S. Bauhoff M.E. Kruk COVID-19 and resilience of healthcare systems in ten countries Nat Med 2022 28 6 1314 1324 1:CAS:528:DC%2BB38XntFCjsbs%3D 10.1038/s41591-022-01750-1 35288697 9205770
M. Buheji K. da Costa Cunha G. Beka B. Mavric Y.L. De Souza S. Souza da Costa Silva M. Hanafi T. Chetia Yein The extent of covid-19 pandemic socio-economic impact on global poverty. a global integrative multidisciplinary review. Am J Econ 2020 10 4 213 224 10.5923/j.economics.20201004.02
G. Caniglia C. Jaeger E. Schernhammer G. Steiner F. Russo J. Renn P. Schlosser M.D. Laubichler COVID-19 heralds a new epistemology of science for the public good Hist Philos Life Sci 2021 43 2 59 10.1007/s40656-021-00413-7 33864155 8051278
D.A. Christakis W. Van Cleve F.J. Zimmerman Estimation of US children’s educational attainment and years of life lost associated with primary school closures during the coronavirus disease 2019 pandemic JAMA Netw Open 2020 3 11 e2028786 e2028786 10.1001/jamanetworkopen.2020.28786 33180132 7662136
T. Christensen P. Lægreid The whole‐of‐government approach to public sector reform. Public Adm Rev 2007 67 6 1059 1066 10.1111/j.1540-6210.2007.00797.x
Churchman CW (1968) The Systems Approach. Delacorte Press, New York, NY, USA
E. Coiera Why system inertia makes health reform so difficult Br Med J 2011 342 d3693 10.1136/bmj.d3693
G. Dahlgren M. Whitehead The Dahlgren-Whitehead model of health determinants: 30 years on and still chasing rainbows. Public Health 2021 199 20 24 10.1016/j.puhe.2021.08.009 34534885
R.R. de Castañeda J. Villers C.A.F. Guzmán T. Eslanloo N. de Paula C. Machalaba J. Zinsstag J. Utzinger A. Flahault I. Bolon One Health and planetary health research: leveraging differences to grow together Lancet Planet Health 2023 7 2 e109 e111 10.1016/S2542-5196(23)00002-5 36754465 9901939
Dyball R, Newell B (2023) Understanding Human Ecology. A Systems Approach To Sustainability. Routledge, London
Engebretsen E, Baker M (2022) Rethinking Evidence in the Time of Pandemics. Cambridge University Press
N. Eshaghzadeh M.R. Mehregan M.A. Ardakan Application of autopoietic theory in management. JIPA 2017 9 3 427 462
M.P.V. Franco O. Molnár C. Dorninger A. Laciny M. Treven J. Weger E.D.M.E. Albuquerque R. Cazzolla Gatti L.-A. Villanueva Hernandez M. Jakab Diversity regained: precautionary approaches to COVID-19 as a phenomenon of the total environment. Sci Total Environ 2022 825 154029 10.1016/j.scitotenv.2022.154029
Giddens A (1984) The Constitution of Society. Outline of the theory of structuration. Polity Press, Cambridge
Global Network for Health in All Policies (2019) Global status report on health in all policies. edited by Government of South Australia. Adelaide, Australia: Government of South Australia
L. Green K. Ashton M. Bellis T. Clements M. Douglas Predicted and observed impacts of COVID-19 lockdowns: two Health Impact Assessments in Scotland and Wales Health Promot Int 2022 37 6 daac134 10.1093/heapro/daac134 36367421 9651036
T. Greenhalgh E. Engebretsen The science-policy relationship in times of crisis: an urgent call for a pragmatist turn. Soc Sci Med 2022 306 115140 10.1016/j.socscimed.2022.115140 35717826
T. Greenhalgh D. Fisman D.J. Cane M. Oliver C.R. Macintyre Adapt or die: how the pandemic made the shift from EBM to EBM+ more urgent. BMJ Evid Based Med 2022 27 5 253 260 10.1136/bmjebm-2022-111952 35853682 9510422
Gutzweiler F (Ed.) (2020) Urban Health and Wellbeing Programme, Policy Briefs: Volume 1, Springer, New York
H. Haberl M. Fischer-Kowalski F. Krausmann V. Winiwarter Social Ecology. Society-Nature Relations Across Time and Space. 2016 Vienna Springer (Ed)
J. Habermas The theory of communicative action. Volume two: Lifeworld and system: a critique of functionalist reason 1987 Cambridge Polity
D. Haley A. Paucar-Caceres S. Schlindwein A critical inquiry into the value of systems thinking in the time of COVID-19 crisis. Systems 2021 9 1 13 4253047 10.3390/systems9010013
Initiative Offene Gesellschaft e.V. (2022) Bürgerrat Forum Corona, https://www.beteiligen.sachsen.de/Download/Begleitstudie_Forum_Corona.pdf
Ison R (2010) Systems practice: how to act in a climate change world. Springer
Jack A (2019) Pioneering UK interdisciplinary university to open next autumn. Financial Times. https://www.ft.com/content/8825e72c-023c-11ea-b7bc-f3fa4e77dd47
C. Johansson S. Åström A. Kauffeldt L. Helldin E. Carlström Culture as a predictor of resistance to change: a study of competing values in a psychiatric nursing context Health Policy 2014 114 2-3 156 162 10.1016/j.healthpol.2013.07.014 23932351
M.P. Kelly F. Russo The epistemic values at the basis of epidemiology and public health Mefisto J Med Philos Hist 2021 5 1 105 119
Klein JK, Häberli R, Scholz RW, Grossenbacher-Mansuy W, Bill A, Welti M (eds). Transdisciplinarity: Joint Problem Solving among Science, Technology, and Society. An Effective Way for Managing Complexity. Springer, Basel 2001
A. Kourti A. Stavridou E. Panagouli T. Psaltopoulou C. Spiliopoulou M. Tsolia T.N. Sergentanis A. Tsitsika Domestic violence during the COVID-19 pandemic: a systematic review Trauma Violence Abus 2023 24 2 719 745 10.1177/15248380211038690
C.V. Laur P. Agarwal G. Mukerji E. Goulbourne H. Baranek L. Pus R.S. Bhatia D. Martin O. Bhattacharyya Building health services in a rapidly changing landscape: lessons in adaptive leadership and pivots in a COVID-19 remote monitoring program. J Med Internet Res 2021 23 1 e25507 10.2196/25507 33417588 7808765
Levine AS (1982) Managing NASA in the Apollo Era. NASA Special Publication, Washington D.C., 4102
N. Luhmann Social systems, writing science 1995 Stanford, California Stanford Univ. Press
N. Luhmann “The autopoiesis of social systems” J Sociocybern 2008 6 2 84 95
Meadows DH (2008) Thinking in systems: a primer. Chelsea Green
M. Mormina Knowledge, expertise and science advice during COVID-19: in search of epistemic justice for the ‘Wicked’ problems of post-normal times Soc Epistemol 2022 36 6 671 685 10.1080/02691728.2022.2103750 36483160 9721401
Nicolescu B (2008) Transdisciplinarity: theory and practice. Hampton Press, Creskill, NJ
van Ooijen C, Ubaldi B, Welby B (2019) A data-driven public sector. https://doi.org/10.1787/09ab162c-en
S. Oreg N. Sverdlik Ambivalence toward imposed change: the conflict between dispositional resistance to change and the orientation toward the change agent J Appl Psychol 2011 96 2 337 349 10.1037/a0021100 21058806
F. Ortenzi R. Marten N.B. Valentine A. Kwamie K. Rasanathan Whole of government and whole of society approaches: call for further research to improve population health and health equity. BMJ Glob Health 2022 7 7 e009972 10.1136/bmjgh-2022-009972 35906017 9344990
J.D. Orton E.W. Karl Loosely coupled systems: a reconceptualization Acad Manag Rev 1990 15 2 203 223 10.5465/amr.1990.4308154
M. Pardo del Val C. Martínez Fuentes Resistance to change: a literature review and empirical study Manag Decis 2003 41 2 148 155 10.1108/00251740310457597
E. Paul W.B. Garrett V. Ridde COVID-19: time for paradigm shift in the nexus between local, national and global health. BMJ Glob Health 2020 5 4 e002622 10.1136/bmjgh-2020-002622 32399261 7204939
Pfaff H, Schmitt J (2023) Reducing uncertainty in evidence-based health policy by integrating empirical and theoretical evidence: an EbM+theory approach. J Eval Clin Pract https://doi.org/10.1111/jep.13890
Pfaff H, Schmitt J (2021) The organic turn: coping with pandemic and non-pandemic challenges by integrating evidence-, theory-, experience-, and context-based knowledge in advising health policy. Front Public Health 1607
G. Pietrabissa C. Volpi M. Bottacchi V. Bertuzzi A. Guerrini Usubini H. Löffler-Stastka T. Prevendar G. Rapelli R. Cattivelli G. Castelnuovo The impact of social isolation during the COVID-19 pandemic on physical and mental health: the lived experience of adolescents with obesity and their caregivers. Int J Environ Res Public Health 2021 18 6 3026 10.3390/ijerph18063026 33804231 7999166
M. Radosavljevic Autopoiesis vs. social autopoiesis: critical evaluation and implications for understanding firms as autopoietic social systems Int J Gen Syst 2008 37 2 215 230 10.1080/03081070701251018
M.H. Rod N.H. Rod F. Russo C.D. Klinker R. Reis K. Stronks Promoting the health of vulnerable populations: three steps towards a systems-based re-orientation of public health intervention research Health Place 2023 80 102984 10.1016/j.healthplace.2023.102984 36773380
H. Rutter N. Savona K. Glonti J. Bibby S. Cummins D.T. Finegood F. Greaves L. Harper P. Hawe L. Moore M. Petticrew E. Rehfuess A. Shiell J. Thomas M. White The need for a complex systems model of evidence for public health Lancet 2017 390 10112 2602 2604 10.1016/S0140-6736(17)31267-9 28622953
Sidik SM (2022) How COVID has deepened inequality—in six stark graphics. Nature https://www.nature.com/immersive/d41586-022-01647-6/index.html
SG Together (2021) Emerging Stronger Conversations. https://www.sg/emergingstrongerconversations
Snowden DJ, Boone ME (2007) A leader’s framework for decision making. Harvard Business Review. https://hbr.org/2007/11/a-leaders-framework-for-decision-making
A. Strauss Negotiations. Varieties, contexts, processes, and social order, The Jossey-Bass Social and Behavioral Science Series. 1978 San Francisco, London Jossey-Bass
Sturmberg JP Martin CM (Eds) (2013) Handbook of Systems and Complexity in Health. Springer. https://doi.org/10.1007/978-1-4614-4998-0_45
J.P. Sturmberg C.M. Martin COVID‐19–how a pandemic reveals that everything is connected to everything else. J Eval Clin Pract 2020 26 5 1361 10.1111/jep.13419 32633056 7362160
O. Taylan A.S. Alkabaa M.T. Yılmaz Impact of COVID-19 on G20 countries: analysis of economic recession using data mining approaches Financ Innov 2022 8 1 10.1186/s40854-022-00385-y 36091580 9441845
T. Thoradeniya S. Jayasinghe COVID-19 and future pandemics: a global systems approach and relevance to SDGs Glob Health 2021 17 1 59 10.1186/s12992-021-00711-6
F. Tretter J. Marcum Medical corona science’: philosophical and systemic issues: re‐thinking medicine? On the epistemology of Corona medicine. J Eval Clin Pract 2023 29 3 405 414 10.1111/jep.13734 35818671
Tretter F, Peters EMJ, Sturmberg J, Bennett J, Voit E, Dietrich JW, Smith G, Weckwerth W, Grossman Z, Wolkenhauer O (2022) Perspectives of (/memorandum for) systems thinking on COVID‐19 pandemic and pathology. J Eval Clin Pract https://doi.org/10.1111/jep.13772. Epub ahead of print
F. Tretter O. Wolkenhauer M. Meyer-Hermann J.W. Dietrich S. Green J. Marcum W. Weckwerth The Quest for System-Theoretical Medicine in the COVID-19 Era. Front Med (Lausanne) 2021 8 640974 10.3389/fmed.2021.640974 33855036
Weiner BJ (2020) A theory of organizational readiness for change. In Handbook on Implementation Science, edited by Per Nilsen and Sarah Birken, 215–232. Edward Elgar Publishing
WHO (2021) World Health Assembly agrees to launch process to develop historic global accord on pandemic prevention, preparedness and response. World Health Organisation. https://www.who.int/news/item/01-12-2021-world-health-assembly-agrees-to-launch-process-to-develop-historic-global-accord-on-pandemic-prevention-preparedness-and-response
S. Yu Q. Qing C. Zhang A. Shehzad G. Oatley F. Xia Data-driven decision-making in COVID-19 response: a survey IEEE Trans Comput Soc Syst 2021 8 4 1016 1029 10.1109/TCSS.2021.3075955
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