The Future of Burn Care From a Complexity Science Perspective
Paul P.M. van Zuijlen (Emma Children's Hospital Academic Medical Center, University of Amsterdam, Amsterdam Movement Sciences, Red Cross Hospital, Beverwijk)
H. Ibrahim Korkmaz (Red Cross Hospital, Beverwijk, Amsterdam Movement Sciences, Association of Dutch Burn Centres (ADBC))
Vivek M. Sheraton (Universiteit van Amsterdam)
Tsjitske M. Haanstra (National Health Care Institute (Zorginstituut Nederland))
Anouk Pijpe (Red Cross Hospital, Beverwijk)
Annebeth de Vries (Emma Children's Hospital Academic Medical Center, University of Amsterdam, Red Cross Hospital, Beverwijk)
Cornelis H. van der Vlies (Maasstad Ziekenhuis, Erasmus MC)
Eelke Bosma (Martini Ziekenhuis)
Evelien de Jong (Red Cross Hospital, Beverwijk)
Esther Middelkoop (Association of Dutch Burn Centres (ADBC), Amsterdam Movement Sciences, Red Cross Hospital, Beverwijk)
F. J. Vermolen (University of Hasselt, TU Delft - Numerical Analysis)
Peter M.A. Sloot (ITMO University, Universiteit van Amsterdam, Complexity Institute)
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Abstract
Health care is undergoing a profound technological and digital transformation and has become increasingly complex. It is important for burns professionals and researchers to adapt to these developments which may require new ways of thinking and subsequent new strategies. As Einstein has put it: "We must learn to see the world anew." The relatively new scientific discipline "Complexity science" can give more direction to this and is the metaphorical open door that should not go unnoticed in view of the burn care of the future. Complexity science studies "why the whole is more than the sum of the parts." It studies how multiple separate components interact with each other and their environment and how these interactions lead to "behavior of the system." Biological systems are always part of smaller and larger systems and exhibit the behavior of adaptivity, hence the name complex adaptive systems. From the perspective of complexity science, a severe burn injury is an extreme disruption of the "human body system." But this disruption also applies to the systems at the organ and cellular levels. All these systems follow the principles of complex systems. Awareness of the scaling process at multilevel helps to understand and manage the complex situation when dealing with severe burn cases. This paper aims to create awareness of the concept of complexity and to demonstrate the value and possibilities of complexity science methods and tools for the future of burn care through examples from preclinical, clinical, and organizational perspectives in burn care.
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