The multiple networks of multimorbidity

The multiple networks of multimorbidity

A/Prof Joachim Sturmberg The University of Newcastle 2nd International Conference on Systems and Complexity in Health Billings, MT – 9th and 10th November 2016

What it means … NETWORK direct relationship indirect relationship distant relationship

The way we see … … reflects the way we think. George Lakoff

So what do you see? Acute Heart Attack?

Differentials include …  Acute heart attack  Acute asthma attack  Anxiety  Chest wall trauma  Oesophageal reflux/spasm  Pulmonary embolism  Nausea/vomiting  Gastric ulcer  Grief  Munchhausen syndrome  ???

I see and I think … … in multiple interconnected ways?

A network view of health (and disease)  The person is at the centre of the network  All network interactions affect the health of the person

The experience of health …

and dis-ease

Network “mechanisms” in disease

Kwang-Il Goh et al. PNAS 2007;104:8685-8690

Braun. Frontiers in Oncology 2012 http://dx.doi.org/10.3389/fonc.2012.00182

Sturmberg et al. 2016

The “external” networks

NHS Wales Informatics Service for NHS Wales

Managing the multiple networks of multimorbidity