Makanjee, Chandra RekhaBergh, Anne-MarieHoffmann, Willem Abraham2015-12-042015-12-042014-05Makanjee, CR, Bergh, A-M, Hoffman, WA 2014, 'A model for understanding diagnostic imaging referrals and complex interaction processes within the bigger picture of a healthcare system', Radiography, vol. 20, no. 2, pp. 153-157.1078-8174 (print)1532-2831 (online)10.1016/j.radi.2014.01.005http://hdl.handle.net/2263/51058Using experiences from the South African public healthcare system with limited resources, this review proposes a model that captures a holistic perspective of diagnostic imaging services embedded in a network of negotiated decision-making processes. Professional interdependency and interprofessional collaboration, cooperation and coordination are built around the central notion of integration in order to achieve a seamless transition through the continuum of various types of services needed to come to a diagnosis. Health-system role players interact with patients who enter the system from the perspective of their life-world. The distribution of diagnostic imaging services e within one setting or at multiple levels of care e demonstrates how fragments of information are filtered, interpreted and transformed at each point of care. The proposed model could contribute to alignment towards a common goal: services providing holistic quality of care within and beyond a complex healthcare system.en© 2014 The College of Radiographers. Published by Elsevier Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in Radiography. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Radiography, vol. 20, no. 2, pp. 153-157, 2014. doi :10.1016/j.radi.2014.01.005.Health systemDelivery of healthcarePatient care teamReferral and consultationIntegrationInterpretationPostprint Article