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Proposal of a Knowledge Management Model for Complex Systems: Case of the Supervision and Control Subsystem of the Colombian Health System

机译:复杂系统的知识管理模型提案:哥伦比亚卫生系统监督和控制子系统的案例

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摘要

Background: Considering regulatory, supervision, and control health policy, an innovative knowledge management model is proposed for the Colombian health system, which is recognized as a complex system. Methods: A model is constructed through a comparative analysis of various theoretical and conceptual frameworks, and an original methodology is proposed based on an analysis of the macroprocesses of the Supervision and Control System (SSC) of the Colombian General Social Security System in Health (SGSSS). After formulating hypotheses and conceptual references, information errors are determined within the different macroprocesses of the SGSSS, including those of governance and the SSC. Results: The risks of generating duplicate, wrong, hidden, or non-existent information arise when the associated regulations need more specificity to be applied in all cases, thus leading to the risk of different interpretations by some actors. In this way, it is possible to hinder the generation of unified information, as there is no clarity as to who is responsible for the generation or creation of certain data. Conclusions: The proposed model is characterized by its flexibility and adaptability, integrating several processes that can be executed simultaneously or cyclically (depending on the system’s needs) and allowing for the generation and feedback of knowledge at different stages, with some processes simultaneously executed to complement each other.
机译:背景:考虑到监管、监督和控制卫生政策,为哥伦比亚卫生系统提出了一种创新的知识管理模型,该系统被认为是一个复杂的系统。方法: 通过对各种理论和概念框架的比较分析构建模型,并根据对哥伦比亚一般卫生社会保障系统 (SGSSS) 的监督和控制系统 (SSC) 的宏观过程的分析提出了一种原始方法。在制定假设和概念参考之后,在 SGSSS 的不同宏观过程中确定信息错误,包括治理和 SSC 的宏观过程。结果:当相关法规需要在所有情况下都更加具体地适用时,就会出现生成重复、错误、隐藏或不存在的信息的风险,从而导致某些行为者做出不同解释的风险。这样,就有可能阻碍统一信息的生成,因为不清楚谁负责生成或创建某些数据。结论:所提出的模型具有灵活性和适应性,集成了可以同时或循环执行(取决于系统需求)的多个过程,并允许在不同阶段生成和反馈知识,一些过程同时执行以相互补充。

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