Table 1

Characteristics in reductionistic and complexity approaches to change

Reductionistic approach to changeComplexity approach to change
Knowledge by focusing on part-by-part detailsKnowledge by focusing on interactions, interdependencies and relationships
Problem as a relation of cause and effect between few parts/actorsProblem as emerging from a system of interactions, relations and interdependencies between many entities (actors, institutions, context) over time
Problem as single eventsProblem as path-dependent patterns over time
Innovation as a product to be implementedInnovation as a process
Change resulting from implementation of evidence-based medicineChange as emergent behaviour resulting from adaptation, social learning and self-organisation