Complicated and Complex Systems

Delivered December 6, 2006 at the European Health Leadership Programme, INSEAD, in Fontainebleau, France. This presentation is based on work done for the Romanow Commission with Brenda Zimmerman of the Shulich School of Business.

In health care we might distinguish between complicated and complex problems. Although many aspects of health care systems are complicated others are best viewed as complex. The advantage of the distinction is that problems that are thought to be intractably complicated can be viewed more optimistically and often unraveled when they are seen as complex.

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