Thursday 16 January 2014

Effectiveness of your health team may be like a grindstone dashed against an egg

Sun Tzu said: The control of a large force is the same principle as the control of a few men: it is merely a question of dividing up their numbers.

Fighting with a large army under your command is nowise different from fighting with a small one: it is merely a question of instituting signs and signals.

To ensure that your whole host may withstand the brunt of the enemy's attack and remain unshaken-- this is effected by maneuvers direct and indirect.

That the impact of your army may be like a grindstone dashed against an egg--this is effected by the science of weak points and strong.


From "Sun Tzu on the Art of War - The Oldest Military Treatise in the World"
Translated from the Chinese By Lionel Giles, M.A. (1910)

Discussion:

In the English text this chapter is titled "Energy" but "Delivery" would be more suitable in the healthcare context. This part also requires creativity in interpreting. As counterparts of the priorities for establishing military superiority,  these principles were selected from the healthcare context: individualised patient-centred care, effective health information systems, population immunisation programmes and evidence-based healthcare.

Translation:

The healthcare of a large population is the same principle as the healthcare of a few patients: it is merely a question of catering for individual needs.

Treating with a large health organisation under your command is nowise different from treating with a small one: it is merely a question of instituting effective health information systems.

To ensure that your whole population may withstand the outbreak of the infectious diseases and remain unshaken-- this is effected by immunisations targeted and standard.

That the effectiveness of your health team may be like a grindstone dashed against an egg--this is effected by the science of indications and contraindications.

Ray Murakami

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