Abstract
A traditional way of analyzing the healthcare system suggests that major change flows from governmental action and trickles to other organizations in the system. A complex adaptive system view suggests a more dynamic analysis in which bottom-up emergent events are as important as top-down steering attempts. We argue that the Dutch University Medical Centers are a prime example of organizations that co-evolve with changes in both the health care and the science system.
Original language | English |
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Publication status | Published - Jun 2014 |