32 found
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Carmel M. Martin [30]Carmel Mary Martin [4]
  1.  12
    ‘Multimorbidity’ as the Manifestation of Network Disturbances.Joachim P. Sturmberg, Jeanette M. Bennett, Carmel M. Martin & Martin Picard - 2017 - Journal of Evaluation in Clinical Practice 23 (1):199-208.
    We argue that 'multimorbidity' is the manifestation of interconnected physiological network processes _within an individual in his or her socio-cultural environment_. Networks include genomic, metabolomic, proteomic, neuroendocrine, immune and mitochondrial bioenergetic elements, as well as social, environmental and health care networks. Stress systems and other physiological mechanisms create feedback loops that integrate and regulate internal networks within the individual. Minor and major stressful life experiences perturb internal and social networks resulting in physiological instability with changes ranging from improved resilience to (...)
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  2.  40
    Knowing – in Medicine.Joachim P. Sturmberg & Carmel M. Martin - 2008 - Journal of Evaluation in Clinical Practice 14 (5):767-770.
    In this paper we argue that knowledge in health care is a multidimensional dynamic construct, in contrast to the prevailing idea of knowledge being an objective state. Polanyi demonstrated that knowledge is personal, that knowledge is discovered, and that knowledge has explicit and tacit dimensions. Complex adaptive systems science views knowledge simultaneously as a thing and a flow, constructed as well as in constant flux. The Cynefin framework is one model to help our understanding of knowledge as a personal construct (...)
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  3.  15
    What Matters in “Multimorbidity”? Arguably Resilience and Personal Health Experience Are Central to Quality of Life and Optimizing Survival.Carmel Mary Martin - 2018 - Journal of Evaluation in Clinical Practice 24 (6):1282-1284.
  4.  26
    Understanding Health System Reform–a Complex Adaptive Systems Perspective.Joachim P. Sturmberg, Di M. O'Halloran & Carmel M. Martin - 2012 - Journal of Evaluation in Clinical Practice 18 (1):202-208.
  5.  29
    Health at the Center of Health Systems Reform: How Philosophy Can Inform Policy.Joachim P. Sturmberg, Carmel M. Martin & Mark M. Moes - 2010 - Perspectives in Biology and Medicine 53 (3):341-356.
    We are never illness or disease, but, rather, always their sum in the world of day-to-day experience. Disease and illness are not closed systems, but mutually constitutive and continuously interacting worlds. In the patient’s case it is always experience as well. Pain, sickness and death help make that particular experienced identity unavoidable, and at some level ultimately inaccessible to medicine’s changing understanding of disease and tools for managing it. Health—rather than cost containment, specific conditions, or technologies—should be the central focus (...)
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  6.  16
    Implementation of Complex Adaptive Chronic Care: The Patient Journey Record System (PaJR).Carmel M. Martin, Carl Vogel, Deirdre Grady, Atieh Zarabzadeh, Lucy Hederman, John Kellett, Kevin Smith & Brendan O’ Shea - 2012 - Journal of Evaluation in Clinical Practice 18 (6):1226-1234.
  7.  9
    Diagnosis - the Limiting Focus of Taxonomy.Joachim P. Sturmberg & Carmel M. Martin - 2016 - Journal of Evaluation in Clinical Practice 22 (1):103-111.
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  8.  42
    Complex Adaptive Chronic Care – Typologies of Patient Journey: A Case Study.Carmel M. Martin, Deirdre Grady, Susan Deaconking, Catherine McMahon, Atieh Zarabzadeh & Brendan O'Shea - 2011 - Journal of Evaluation in Clinical Practice 17 (3):520-524.
  9.  24
    W(H)Ither Complexity? The Emperor's New Toolkit? Or Elucidating the Evolution of Health Systems Knowledge?Carmel M. Martin & Margot Félix-Bortolotti - 2010 - Journal of Evaluation in Clinical Practice 16 (3):415-420.
  10.  8
    Complex Adaptive Systems Approaches in Health Care—A Slow but Real Emergence?Carmel M. Martin - 2018 - Journal of Evaluation in Clinical Practice 24 (1):266-268.
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  11.  4
    Self-Rated Health: Patterns in the Journeys of Patients with Multi-Morbidity and Frailty.Carmel Mary Martin - 2014 - Journal of Evaluation in Clinical Practice 20 (6):1010-1016.
  12.  10
    Person-Centred Health Care: A Critical Assessment of Current and Emerging Research Approaches.Carmel M. Martin & Margot Félix-Bortolotti - 2014 - Journal of Evaluation in Clinical Practice 20 (6):1056-1064.
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  13.  27
    Perturbing Ongoing Conversations About Systems and Complexity in Health Services and Systems.Carmel M. Martin & Joachim P. Sturmberg - 2009 - Journal of Evaluation in Clinical Practice 15 (3):549-552.
  14. Developing Interdisciplinary Maternity Services Policy in Canada. Evaluation of a Consensus Workshop.Carmel M. Martin & Jan Kasperski - 2010 - Journal of Evaluation in Clinical Practice 16 (1):238-245.
  15.  5
    Complexity and Health – Yesterday's Traditions, Tomorrow's Future.Joachim P. Sturmberg & Carmel M. Martin - 2009 - Journal of Evaluation in Clinical Practice 15 (3):543-548.
  16.  13
    The Social Construction of Chronicity – a Key to Understanding Chronic Care Transformations.Carmel M. Martin & Chris Peterson - 2009 - Journal of Evaluation in Clinical Practice 15 (3):578-585.
  17.  16
    Complexity in Dynamical Health Systems – Transforming Science and Theory, and Knowledge and Practice.Carmel M. Martin - 2010 - Journal of Evaluation in Clinical Practice 16 (1):209-210.
  18.  27
    User‐Driven Health Care – Answering Multidimensional Information Needs in Individual Patients Utilizing Post–EBM Approaches: A Conceptual Model.Rakesh Biswas, Carmel M. Martin, Joachim Sturmberg, Ravi Shanker, Shashikiran Umakanth, Shiv Shanker & A. S. Kasturi - 2008 - Journal of Evaluation in Clinical Practice 14 (5):742-749.
  19.  9
    Making Sense of Polarities in Health Organizations for Policy and Leadership.Carmel M. Martin - 2010 - Journal of Evaluation in Clinical Practice 16 (5):990-993.
  20.  21
    Revitalizing Primary Health Care and Family Medicine/Primary Care in India – Disruptive Innovation?Rakesh Biswas, Ankur Joshi, Rajeev Joshi, Terry Kaufman, Chris Peterson, Joachim P. Sturmberg, Arjun Maitra & Carmel M. Martin - 2009 - Journal of Evaluation in Clinical Practice 15 (5):873-880.
  21.  8
    Distortions, Belief and Sense Making in Complex Adaptive Systems for Health.Carmel M. Martin - 2011 - Journal of Evaluation in Clinical Practice 17 (2):387-388.
  22.  8
    Music in the Park. An Integrating Metaphor for the Emerging Primary (Health) Care System.Joachim P. Sturmberg, Carmel M. Martin & Di O.’Halloran - 2010 - Journal of Evaluation in Clinical Practice 16 (3):409-414.
  23.  23
    The Process of Evidence-Based Medicine and the Search for Meaning.Rakesh Biswas, Shashikiran Umakanth, Joachim Strumberg, Carmel M. Martin, Manjunath Hande & Jagbir S. Nagra - 2007 - Journal of Evaluation in Clinical Practice 13 (4):529-532.
    BACKGROUND AND RATIONALE: Evidence based medicine is the present backbone of rational and objective, modern medical problem solving and is a meeting ground for quantitative and qualitative researchers alike as it culminates into applying the fruits of clinical research to the individual patient. A systematic enquiry into the evolving paradigms in EBM is a need of the hour. AIMS AND METHODS: A qualitative enquiry examining the impact of different methodologies in EBM and their role in generating meaning interpretable at individual (...)
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  24.  15
    Understanding and Changing Health Systems – an Instinctive and Natural Process?Carmel M. Martin - 2009 - Journal of Evaluation in Clinical Practice 15 (5):859-860.
  25.  13
    Health Systems Innovation: Addressing the Dynamics of Multilayered 'Complex Bundles' of Knowledge.Carmel M. Martin - 2013 - Journal of Evaluation in Clinical Practice 19 (6):1085-1086.
  26.  3
    Resilience and Health : A Dynamic Adaptive Perspective.Carmel Mary Martin - 2018 - Journal of Evaluation in Clinical Practice 24 (6):1319-1322.
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  27.  6
    COVID‐19 – How a Pandemic Reveals That Everything is Connected to Everything Else.Joachim P. Sturmberg & Carmel M. Martin - 2020 - Journal of Evaluation in Clinical Practice 26 (5):1361-1367.
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  28.  20
    Leadership and Transitions: Maintaining the Science in Complexity and Complex Systems.Joachim P. Sturmberg & Carmel M. Martin - 2012 - Journal of Evaluation in Clinical Practice 18 (1):186-189.
  29.  4
    Music in the Park. An Integrating Metaphor for the Emerging Primary Care System.Joachim P. Sturmberg, Carmel M. Martin & Di O’Halloran - 2010 - Journal of Evaluation in Clinical Practice 16 (3):409-414.
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  30. Universal Health Care - A Matter of Design and Agency?Joachimh P. Sturmberg & Carmel M. Martin - forthcoming - Journal of Evaluation in Clinical Practice.
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  31.  5
    What Weekday? How Acute? An Analysis of Reported Planned and Unplanned GP Visits by Older Multi-Morbid Patients in the Patient Journey Record System Database.David Emanuel Surate Solaligue, Lucy Hederman & Carmel Mary Martin - 2014 - Journal of Evaluation in Clinical Practice 20 (4):522-526.
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  32. Improving Quality in a Complex Primary Care System—An Example of Refugee Care and Literature Review.Richard A. Young, Mark J. Nelson, Ricardo E. Castellon & Carmel M. Martin - forthcoming - Journal of Evaluation in Clinical Practice.
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