Toward a Values-Informed Approach to Complexity in Health Care: Hermeneutic Review

Milbank Q. 2023 Sep;101(3):646-674. doi: 10.1111/1468-0009.12656. Epub 2023 May 23.

Abstract

Policy Points The concept of value complexity (complexity arising from differences in people's worldviews, interests, and values, leading to mistrust, misunderstanding, and conflict among stakeholders) is introduced and explained. Relevant literature from multiple disciplines is reviewed. Key theoretical themes, including power, conflict, language and framing, meaning-making, and collective deliberation, are identified. Simple rules derived from these theoretical themes are proposed.

Keywords: complexity; hermeneutic review; narrative; pragmatism; quality improvement; value complexity.

Publication types

  • Review

MeSH terms

  • Delivery of Health Care*
  • Hermeneutics
  • Humans