Challenges in complex adaptive healthcare systems

A dynamic combination of several parties makes induce challenges in health care. In the framework of complex adaptive system (CAS), challenges are approached as the tensions between different management principles. We have carried out two studies focusing on change cases in a health care organisation and a social and health care network. On the basis of interviews, we identified the challenges which were revealed during the change process and examined them within the framework of tensions in CAS. The results show that change cases induce such tensions in system and they should not be ignored when a change is managed