Making sense of polarities in health organizations for policy and leadership

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5 Citations (Scopus)


Making sense of complex adaptive clinical practice and health systems is a pressing challenge as health services continue to struggle to adapt to changing internal and external constraints. In this Forum, we begin with Dervin's Sense-Making theories and research in communications. This provides a conceptual and theoretical context for this editions research on comparative complexity of family medicine consultations in the USA, models for adaptive leadership in clinical care and social networking to make sense of health promotion challenges for young people. Finally, a Sense-Making schema is proposed.

Original languageEnglish
Pages (from-to)990-993
Number of pages4
JournalJournal of Evaluation in Clinical Practice
Issue number5
Publication statusPublished - 1 Oct 2010
Externally publishedYes


  • complexity
  • health service
  • health system
  • polarity

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