SYSTEMIC PRACTICE AND ACTION RESEARCH, vol.27, no.4, pp.325-361, 2014 (SSCI)
The paper dealt with the issues of communication between physicians and patients, health care needs of patients and appointment and documentation systems leading to sub-optimal medical treatment, disorganised files and congestion and improperly stored medical treatment records of patients Two Strands Model of Soft Systems Methodology (SSM) revealed and handled at a private hospital in Turkey. SSM helped make changes as recommendations to the hospital. However, the SSM-based enquiry also disclosed some difficulties in the processes of cooperation between the practitioner and the client, arranging democratic group discussions, drawing rich pictures, designating, listing and selecting organisational concerns, designing human activity systems, comparing conceptual models with the problem situation and offering and adopting changes. Thus, the paper proposed possible solutions to these methodological problems through synthesising relevant key conceptions of specific soft and other change methodologies into a framework that attempted to bring robust developmental specifications and order for using SSM.