Analyse a hypothetical scenario and propose a holistic solution to the problem using a Systems Thinking lens.
Systems Thinking
Across the healthcare professions, trainees are expected to provide patient-centered care, and to do so they must develop competence in systems-based practice (American Academy of Physician Assistants, 2012). They are expected to work effectively in various delivery settings such as coordinate care in and across different delivery settings and with inter-professional teams. Effective systems-based care requires an understanding of the features and characteristics of a “system” coupled with an understanding of how to think about that system, analyze it, and approach enhancing it. The foundational construct that needs to be applied in systems-based practices is systems thinking. Systems thinking is a body of knowledge, theory, and techniques applied to enhance understanding of the interrelationships among elements and patterns of change (Three Sigma, 2002). Applying systems thinking in health contexts has been valuable to preparing for complex events, such as crises and disasters, enhancing quality and safety, and facilitating the implementation of process changes (Colbert et al., 2012).
has an opportunity cost; spending on investment and development of industries is foregone, often leaving the citizens of a non-democratic regime stuck in the early stages of Walter Rostow’s 5 Stages of Growth Theory, as shown in Figure 2, which can leave countries primary- or secondary-sector dependent and under-developed. As John Harriss describes, such “economic development [is] conducive to democratisation, partly because [it] strengthens the ‘moderate’ middle class”[5]: a social group of people who are better educated and financially-placed to resist being ‘bought-off’ by a dictator. Emerging middle classes therefore diminish the extent to which non-democratic leaders can bribe their winning coalition with private goods, as the prospect of doing so becomes increasingly expensive as the size and wealth of the middle classes grow as a result of development, while the loyalty norm weakens too.
We may also see a rise in post-materialist values as the population becomes wealthier, since “after a period of sharply rising economic and physical security, one would expect to find substantial differences [in] value priorities, […] for example, post-materialists […] are markedly more tolerant of homosexuality”[6]. This could erode the extent to which the population would be morally willing to accept such bribes, regardless of magnitude. Subsequently, economic development might lead to the demise of such a regime.
An additional economic explanation could be the ‘resource curse’, which suggests that countries “with abundant reserves of non-renewable mineral resources, such as Nigerian oil [and] DRC gold […] produce less diversified and less competitive economies, more income inequality [and] heightened danger of state capture and rent-seeking by ruling elites”[25]. This is because the revenue streams in these countries are so concentrated to the elites and ruling classes, providing only menial low-paid labour to politically-insignificant lower classes. Moreover, since they are primary-product-export dependent, manufacturing industries develop overseas where economies of scales are subsequently built; diminishing the ability of local entrepreneurs to set up competing businesses and increase their wealth. The likelihood of a democratic transition is therefore low, since “democracy is expected to increase redistrib