Advancing the application of systems thinking in health: managing rural China health system development in complex and dynamic contexts

This paper explores the evolution of schemes for rural finance in China as a case study of the long and complex process of health system development. It argues that the evolution of these schemes has been the outcome of the response of a large number of agents to a rapidly changing context and of efforts by the government to influence this adaptation process and achieve public health goals. The paper concludes that governments will need to increase their capacity to analyse the health sector as a complex system and to manage change processes.

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Zhang X, Bloom G, Xu X, Chen L, Liang X, Wolcott S. Advancing the application of systems thinking in health: managing rural China health system development in complex and dynamic contexts. Health Research Policy and Systems. 2014;12(44). doi:10.1186/1478-4505-12-44