School of Medicine & Health Contrasting Approaches Rational, managerial approachComplex adaptive system Organisation is a machine Organisation is an organism adapting to its environment Plan and control Learn and adapt Ideas produces by specialists/experts Ideas can emerge from anyone Implementation is well planned and can be a replication of structures and processes that have worked elsewhere Can be informed by what has worked elsewhere but must be adapted to local context Primarily an issue of evidence dissemination Primarily an issue of sharing knowledge through social relationships and adapting ideas to local settings
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