Transdisciplinary Issues of the United States Healthcare Delivery System

Jesudhas Yogarajah, Victor R. Prybutok, Gayle Prybutok

This paper applies informing science principles to analyze the evolution of United States (U.S.) healthcare delivery, exploring how policy shifts, technological advancements, and changing practices have transformed informing processes within this complex system. By examining healthcare delivery through a transdisciplinary lens, we aim to enhance the understanding of intricate informing environments and their dynamics.

The U.S. healthcare system epitomizes a complex, evolving transdisciplinary domain intersecting information systems, policy, economics, and public health. Recent transformations in stakeholder information flow necessitate an informing science perspective to comprehend these changes fully.

We synthesize literature on U.S. healthcare delivery changes, employing informing science frameworks such as Cohen’s “informing environment” concept to analyze the evolution of healthcare informing processes.

This study expands informing science theory by examining how changes in a complex transdisciplinary system impact information flow, decision-making, and stakeholder interactions. The results provide insights into challenges and opportunities within evolving informing environments.

Our analysis reveals significant alterations in the U.S. healthcare informing landscape due to policy, regulatory, and technological changes. We identify key transformations in client-sender-delivery system relationships, shifts in information asymmetry, and the emergence of novel informing channels and barriers.

Future studies should develop informing science models capable of capturing the complexity and dynamism of healthcare delivery systems, particularly amidst rapid technological and policy changes.

Further investigation is needed into how emerging technologies reshape healthcare informing processes and their impact on care quality, accessibility, and cost-effectiveness.

healthcare delivery, informing science, transdisciplinary systems, health healthcare information flow, healthcare policy, technological innovation
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