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Stolarek et al’s editorial on leadership and governance[[1]] applies the Cynefin framework of complex systems to health provision and governance. I think they rightly identify that “most clinical specialty-level work functions predominantly in the complicated domain, whereas organisational and national system-level challenges… sit in complexity.” They go on to argue that these clinicians, used to working in the complicated domain, may not be well suited to managing these system-level complexities. What this comment ignores is the “specialty” of General Practice. As argued in my paper on the Cynefin Framework,[[2]] General Practitioners work predominantly in complexity. There is a strong argument that if we are looking for clinicians to take roles in system level governance, General Practitioners may be well suited to contribute to this challenge.

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Associate Professor Ben Gray: Primary Health Care and General Practice, University of Otago, Wellington. 0273314440.

Acknowledgements

Correspondence

Correspondence Email

Ben.gray@otago.ac.nz

Competing Interests

Nil.

1) Stolarek I, McHardy K, McCann L, et al. Leadership and governance—what is needed to deliver the Aotearoa New Zealand health reforms. New Zealand Medical Journal. 2022;135(1553): 7-9.

2) Gray B. The Cynefin framework: applying an understanding of complexity to medicine. Journal of Primary Health Care. 2017;9(4):258-61.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

Stolarek et al’s editorial on leadership and governance[[1]] applies the Cynefin framework of complex systems to health provision and governance. I think they rightly identify that “most clinical specialty-level work functions predominantly in the complicated domain, whereas organisational and national system-level challenges… sit in complexity.” They go on to argue that these clinicians, used to working in the complicated domain, may not be well suited to managing these system-level complexities. What this comment ignores is the “specialty” of General Practice. As argued in my paper on the Cynefin Framework,[[2]] General Practitioners work predominantly in complexity. There is a strong argument that if we are looking for clinicians to take roles in system level governance, General Practitioners may be well suited to contribute to this challenge.

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Associate Professor Ben Gray: Primary Health Care and General Practice, University of Otago, Wellington. 0273314440.

Acknowledgements

Correspondence

Correspondence Email

Ben.gray@otago.ac.nz

Competing Interests

Nil.

1) Stolarek I, McHardy K, McCann L, et al. Leadership and governance—what is needed to deliver the Aotearoa New Zealand health reforms. New Zealand Medical Journal. 2022;135(1553): 7-9.

2) Gray B. The Cynefin framework: applying an understanding of complexity to medicine. Journal of Primary Health Care. 2017;9(4):258-61.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

Stolarek et al’s editorial on leadership and governance[[1]] applies the Cynefin framework of complex systems to health provision and governance. I think they rightly identify that “most clinical specialty-level work functions predominantly in the complicated domain, whereas organisational and national system-level challenges… sit in complexity.” They go on to argue that these clinicians, used to working in the complicated domain, may not be well suited to managing these system-level complexities. What this comment ignores is the “specialty” of General Practice. As argued in my paper on the Cynefin Framework,[[2]] General Practitioners work predominantly in complexity. There is a strong argument that if we are looking for clinicians to take roles in system level governance, General Practitioners may be well suited to contribute to this challenge.

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Associate Professor Ben Gray: Primary Health Care and General Practice, University of Otago, Wellington. 0273314440.

Acknowledgements

Correspondence

Correspondence Email

Ben.gray@otago.ac.nz

Competing Interests

Nil.

1) Stolarek I, McHardy K, McCann L, et al. Leadership and governance—what is needed to deliver the Aotearoa New Zealand health reforms. New Zealand Medical Journal. 2022;135(1553): 7-9.

2) Gray B. The Cynefin framework: applying an understanding of complexity to medicine. Journal of Primary Health Care. 2017;9(4):258-61.

Contact diana@nzma.org.nz
for the PDF of this article

View Article PDF

Stolarek et al’s editorial on leadership and governance[[1]] applies the Cynefin framework of complex systems to health provision and governance. I think they rightly identify that “most clinical specialty-level work functions predominantly in the complicated domain, whereas organisational and national system-level challenges… sit in complexity.” They go on to argue that these clinicians, used to working in the complicated domain, may not be well suited to managing these system-level complexities. What this comment ignores is the “specialty” of General Practice. As argued in my paper on the Cynefin Framework,[[2]] General Practitioners work predominantly in complexity. There is a strong argument that if we are looking for clinicians to take roles in system level governance, General Practitioners may be well suited to contribute to this challenge.

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Associate Professor Ben Gray: Primary Health Care and General Practice, University of Otago, Wellington. 0273314440.

Acknowledgements

Correspondence

Correspondence Email

Ben.gray@otago.ac.nz

Competing Interests

Nil.

1) Stolarek I, McHardy K, McCann L, et al. Leadership and governance—what is needed to deliver the Aotearoa New Zealand health reforms. New Zealand Medical Journal. 2022;135(1553): 7-9.

2) Gray B. The Cynefin framework: applying an understanding of complexity to medicine. Journal of Primary Health Care. 2017;9(4):258-61.

Contact diana@nzma.org.nz
for the PDF of this article

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