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Purpose

This paper sets out to provide a new systems theory supporting requisite holism and innovation in organizations of the public sector, such as medical care.

Design/methodology/approach

Mulej's dialectical systems theory is applied.

Findings

Currently, the many existing systems theories are applied in separation rather than in synergy. Here, a fourth attempt to make a new systems theory in Slovenia is presented: after the dialectical system theory, the dialectical network thinking, and the business cybernetics this is the control systems theory.

Research limitation/implications

Research was limited to management of public health care and attainment of the requisite holism in it.

Practical implications

Managerial efficiency and processes in organizations with a rather small influence of the market pressure can be innovated more easily.

Originality/value

This is the first attempt, to the best of one's knowledge, to make a new synergy of the dialectical systems, living systems, and viable systems theories as potentially complementary systems theories and three methodologies supporting informal requisite holism of thinking, decision making and action.

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