ESD and Health Care Systems: some strategic considerations

Abstract

Proper health care delivery to a growing but aging population is becoming one of the most challenging tasks of our time. It becomes also one of the most complex. Although many tools are at hand, grand designs and implementation systems are mostly lacking. In the industrialized countries, requests for optimal medical care and the demographic evolution towards longer life have led to different health care systems but all of them may be characterized as more or less dysfunctional (see below). In many developing countries, the gaps caused by the lack of health care infrastructure and education and by economic backwardness are becoming increasingly apparent. On the other hand, the relatively new approach of engineering for solution and optimization of various complex problems, such as energy, infrastructures, transportation, manufacturing or environmental protection leads us to ask whether the logical and analytical tools developed in complex systems engineering could also be applied to the whole or parts of the health care field. A brief discussion of that issue is the purpose of this memorandum.