Understanding global health governance as a complex adaptive system

Hill, Peter S. (2011) Understanding global health governance as a complex adaptive system. Global Public Health, 6 6: 593-605. doi:10.1080/17441691003762108

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Author Hill, Peter S.
Title Understanding global health governance as a complex adaptive system
Journal name Global Public Health   Check publisher's open access policy
ISSN 1744-1692
Publication date 2011
Year available 2010
Sub-type Article (original research)
DOI 10.1080/17441691003762108
Volume 6
Issue 6
Start page 593
End page 605
Total pages 13
Editor Richard Parker
Place of publication Abingdon, United Kingdom
Publisher Routledge
Collection year 2011
Language eng
Formatted abstract
The transition from international to global health reflects the rapid growth in the numbers and nature of stakeholders in health, as well as the constant change embodied in the process of globalisation itself. This paper argues that global health governance shares the characteristics of complex adaptive systems, with its multiple and diverse players, and their polyvalent and constantly evolving relationships, and rich and dynamic interactions. The sheer quantum of initiatives, the multiple networks through which stakeholders (re)configure their influence, the range of contexts in which development for health is played out - all compound the complexity of this system. This paper maps out the characteristics of complex adaptive systems as they apply to global health governance, linking them to developments in the past two decades, and the multiple responses to these changes. Examining global health governance through the frame of complexity theory offers insight into the current dynamics of governance, and while providing a framework for making meaning of the whole, opens up ways of accessing this complexity through local points of engagement.
© 2010 Taylor & Francis
Keyword Global health
Complexity theory
Complex adaptive systems
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes First published online 28 April 2010

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 17 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 28 times in Scopus Article | Citations
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Created: Wed, 09 Mar 2011, 15:42:19 EST by Geraldine Fitzgerald on behalf of School of Public Health