CGS Paper 2 – Human-Centered Logistics in Healthcare The Missing Dimension in an Era of Digital Optimization

This paper examines why large-scale digital optimisation in healthcare has often failed to deliver its promised benefits. Rather than focusing on technology or algorithms, it analyses healthcare as a flow system shaped by human work patterns, cognitive limits, and organisational routines. Drawing on systems theory, ergonomics, and empirical experience from the Swedish Rheumatology Quality Register (SRQ), the paper introduces the concept of human-centered logistics: the design of clinical systems that prioritise predictable flow, minimal decision burden, and resilience independent of individual staff members. It argues that many digital systems fail because they interrupt clinical flow, fragment work, and shift…