The approach of sciences of complexity in health services administration

Abstract

Historically, health services administration has been managed under a taylorist, fayolist, humanist and bureaucratic focus approach. However, today is developing dynamic and competitive behavior that requires others approaches in managing. Since the social, scientific and technological changes that are occurring, it is necessary to abandon hierarchical and authoritarian schemes, “up and down” lines, prescriptive rules and order line up must be left behind. Health services administration is an adapted complex system that it is no proportional, neither predictable in direction or magnitude. A new proposal is to focus since the sciences of complexity where de social factors, materials, economics, human and ethics coincide order and disorder, reason and unreason and in which we must accepted that the phenomenon that emerge creating organizing different structures to the addition or subtraction of its components. There is distance in the process of cause and direct effect. The mirage from the sciences of complexity implicate trans-disciplinary in others branches of knowledge like the quantum physics, the no-lineal mathematics and the cybernetics, so we have to accept the influence of entropy, the non-entropy, the attractors, the theory of chaos and the fractals.