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Building on past work by Lanham et al, I suggest seven concepts of complexity which could help to develop system capacities that will help bridge the research-service gap acknowledge unpredictability, recognise selforganisation, enhance interdependencies, encourage sensemaking, deal with person relationships, develop adaptive capabilities in staff, and harness dispute productively. © 2020 The Author(s); posted by Kerman University of Medical Sciences. This is certainly an open-access article distributed und