Dialogue is very useful to support certain kinds of change. A famous system thinker, Donella Meadows, created a very useful way to think about the “leverage points” which make change possible–or not. I have named her most profound leverage points the “existential levers” ( which includes 1) the power to transcend paradigms, 2) the mindset out of which the system arises, 3) the goals of the system). Dialogue slows conversation to a reflective pace and removes the subtle violence seen in many “negotiation” conversations.
Facilitated dialogue can be organized at any level or scale in the system for health and illness care. A noteworthy cross-organizatonal use of dialogue to improve a system of illness care has occured in Grand Junction, Colorado. To learn how a community can engage in dialogue to improve itself read this paper: Grand-junction-dialogue project
Here is some useful background on Grand Junction, CO. GrandJunctionCOHealthCommunityWorks
Dialogue is the conversational equivalent of Aikido.