Integrating Care for Older People: New Care for Old, a Systems Approach

By Christopher Foote; Christine Stanners | Go to book overview

CHAPTER 3
Implementation Models

The significant problems we face cannot be solved with the same level of thinking we
were at when we created them
.

Albert Einstein

In this chapter we describe the process of modelling as one of the tools that can be
helpful in understanding and developing systems of care. Six implementation models
are presented, based on the experience within EPICS, with diagrams to illustrate the
models. The impact on the systems of care and the quality of life of older people is dis-
cussed.

The previous chapter explained the importance of thinking systemically It allows for systemic analysis and understanding of the underlying relationships between structures and the spaces between them. However, to move from an analytical stance to the actual generation of new systems is not easy. There is an enormous practical gulf between an individual understanding and learning about systems thinking and getting groups or teams of people to do the same. Even late on in a project, different perceptions of purpose, process and outcome can emerge in members of the team because they do not share a fully understood common view of the project and its goal. Frequently this is because the concepts and underpinning theories have not been shared and remain in the mind of the originator, champion or leader. In any case, the complexity of many of the issues around older people’s care is very difficult to represent and communicate in conventional terms. An important tool that arises out of systems thinking is modelling. This can make some of the underlying tenets and

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