https://nova.newcastle.edu.au/vital/access/ /manager/Index en-au 5 https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:32648 needs of patients, providers and communities, and ultimately results in declining effectiveness and efficiency of the health care system as well as the health of the wider community. A needs-focused complex-adaptive health system can be represented by the 'healthcare vortex' model; how to build a needs-focused complex-adaptive health system is illustrated by Eastern Deanery AIDS Relief Program approaches in the poor neighbourhoods of Nairobi, Kenya. Findings and conclusions: A small group of nurses and community health workers focused on the care of terminally ill HIV/AIDS patients. This work identified additional problems: tuberculosis (TB) was underdiagnosed and undertreated, a local TB-technician was trained to run a local lab, a courier services helped to reach all at need, collaboration with the Ministry of Health established local TB and HIV treatment programmes and philanthropists helped to supplement treatment with nutrition support. Maternal-to-child HIV-prevention and adolescent counselling services addressed additional needs. The 'theory of the healthcare vortex' indeed matches the 'empery of the real world experiences'. Locally developed and delivered adaptive, people-centred health systems, a bottom-up community and provider initiated approach, deliver highly effective and sustainable health care despite significant resource constraints.]]> Thu 14 Apr 2022 11:04:06 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:35381 health—defined as a personal experiential state—back at the center to achieve a seamlessly integrated health system. The health vortex model offers a tangible framework to guide the redesign of health systems that make health the driver in the pursuit of achieving highly integrated, constantly adapting health systems that meet the needs of the person/patient. The good physician treats the disease; the great physician treats the patient who has the disease. William Osler]]> Mon 22 Jul 2019 16:00:17 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:21299 Fri 30 Oct 2015 15:12:22 AEDT ]]>