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While it has become fashionable in the arena of international health to think about health systems, the theoretical underpinning of Niklas Luhmann's vast and productive theory has been given too little consideration in the field. It is rich in concepts that can facilitate a fuller understanding of what health systems are. João Costa applies these concepts and shows the analytical possibilities they open up. He argues concisely how Luhmann's Social Systems Theory offers an integrated theoretical body as well as a consistent articulation of concepts that can lay the groundwork for a vastly improved health systems thinking.
About the author
João Costa is a public health specialist and health economist. He has a doctorate degree from the London School of Hygiene and Tropical Medicine, where he also worked as research fellow. He is also an independent consultant and associate researcher of the Swiss Tropical and Public Health Institute. He has approximately 45 years of working experience in development projects in several countries, always focusing on strengthening health systems. His international profile includes project management, research, teaching, consultancy, and high-level advisory positions – working with academic institutions, consultancy companies, international development banks, international development agencies, and others.
Summary
While it has become fashionable in the arena of international health to think about health systems, the theoretical underpinning of Niklas Luhmann's vast and productive theory has been given too little consideration in the field. It is rich in concepts that can facilitate a fuller understanding of what health systems are. João Costa applies these concepts and shows the analytical possibilities they open up. He argues concisely how Luhmann's Social Systems Theory offers an integrated theoretical body as well as a consistent articulation of concepts that can lay the groundwork for a vastly improved health systems thinking.