The current state of healthcare is captured by the diagrams to the right. Care is distributed amongst different bureaucracies – the jurisdictions, institutions, and professions involved in care. These cannot be transformed by regulation and inspection, as healthcare challenges are complex or non-linear, and bureaucracies deal with simple, linear challenges.

Image 1 OD

These bureaucracies make up
the “Healthcare Archipelago” of distributed services, which seriously hinders the ability of the health professionals to focus on the needs of the patient.


It is clear that structural reorganisation is not the answer to the problem of the archipelago.

What we need is a more integrated solution.