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AJPH First Look, published online ahead of print Jan 31, 2006
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March 2006, Vol 96, No. 3 | American Journal of Public Health 466-472
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.067660

OPPORTUNITIES AND DEMANDS IN PUBLIC HEALTH SYSTEMS

Systemic Intervention for Public Health

Gerald Midgley, PhD

Gerald Midgley is with the Institute of Environmental Science and Research, Christchurch, New Zealand; and the School of Management, Victoria University of Wellington, New Zealand; and the Centre for Systems Studies, Business School, University of Hull, England.

Correspondence: Requests for reprints should be sent to Gerald Midgley, Institute of Environmental Science and Research, 27 Creyke Road, PO Box 29-181, Christchurch, New Zealand (e-mail: gerald.midgley{at}esr.cri.nz).

Many calls have been made for a systems approach to public health. My response is to offer a methodology for systemic intervention that (1) emphasizes the need to explore stakeholder values and boundaries for analysis, (2) challenges marginalization, and (3) draws upon a wide range of methods (from the systems literature and beyond) to create a flexible and responsive systems practice.

I present and discuss several well-tested methods with a view to identifying their potential for supporting systemic intervention for public health.




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