Evidence-informed integrative care systems—The way forward

Sundberg, Tobias; Hök, Johanna; Finer, David; Arman, Maria; Swartz, Jacqueline; Falkenberg, Torkel

doi:10.1016/j.eujim.2013.09.005

Cited by 13 publications

(10 citation statements)

References 39 publications

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“…It is in the patients' interest that the different health care practitioners they turn to are able to communicate and collaborate with each other (Frenkel & Borkan, 2003;Salamonsen, 2015). In situations where there is a lack of collaboration between complementary and conventional health care practitioners, patients might need to bridge the gap by themselves, leading to extended suffering related to care (Arman et al, 2008;Salamonsen, 2015;Sundberg, Hok, et al, 2014). Kaptchuk & Miller (2005) have argued that it is time to overcome an oppositional view of conventional and complementary/integrative health care.…”

Section: Barriers and Shortcomingsmentioning

confidence: 99%

“…Kaptchuk & Miller (2005) have argued that it is time to overcome an oppositional view of conventional and complementary/integrative health care. The ability of practitioners to have open dialogue, a high degree of professionalism and to work as a team have been considered essential to provide safe and effective health care (Frenkel & Borkan, 2003;Sundberg, Hok, et al, 2014).…”

Section: Barriers and Shortcomingsmentioning

confidence: 99%

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Practitioners’ use of shared concepts in anthroposophic pain rehabilitation

Andermo

Hök

Sundberg

et al. 2016

Disability and Rehabilitation

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The practitioners' use of a conceptual language is here interpreted as a sign of a shared "caring culture" that enabled them to understand patients and their suffering from an existential perspective. A reciprocal understanding within a caring culture may extend the abilities of practitioners to engage in a dialog with patients about life and health as intertwined with the phenomenon of pain. Implications for rehabilitation In the rehabilitation process, health practitioners' language may contribute to shaping a caring culture that emphasis an understanding of patients' needs of health. Shared concepts in rehabilitation might increase health practitioners' possibilities to support patients from broader and more personalized perspectives, involving not only biopsychosocial aspects but also existential dimensions. The shared conceptual understanding of anthroposophic practitioners in this study may serve as an example to practitioners in other pain rehabilitation settings, developing a contextual understanding of their central concepts, and caring values.

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Section: Barriers and Shortcomingsmentioning

confidence: 99%

Section: Barriers and Shortcomingsmentioning

confidence: 99%

Practitioners’ use of shared concepts in anthroposophic pain rehabilitation

Andermo

Hök

Sundberg

et al. 2016

Disability and Rehabilitation

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“…Die UNION hat diesen Paradigmenwechsel sehr begrüsst: Damit wird der klar ausgewiesene Patientenwille endlich ernst genommen und der real existierende wissenschaftliche Pluralismus in der Medizin [22], welche immer Heilkunde und Heilkunst bleiben muss, anerkannt. Die Verordnungsanpassung bedingt indessen nochmals einen längeren juristischen und parlamentarischen Prozess samt nochmaliger Einberufung einer Expertengruppe, öffentlicher Vernehmlassung und BR-Entscheid.…”

Section: Ausblickunclassified

Von «Kreml-Methoden» zum «Vertrauensprinzip»: 15 Jahre WZW-Kontroverse zum Verbleib der ärztlichen Komplementärmedizin in der sozialen Grundversicherung der Schweiz

Albonico¹

2014

Schweiz Z Ganzheitsmed

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“…Zollman and Vickers [ 3 ] define complementary and alternative medicine (CAM) as “Complementary and alternative medicine (CAM) is a broad domain of healing resources that encompasses all health systems , modalities , and practices and their accompanying theories and beliefs , other than those intrinsic to the politically dominant health system of a particular society or culture in a given society” . The objective in IHC is to provide patient-centred, personalised, safe and effective health care with as few side-effects as possible [ 4 ]. In recent authoritative recommendations, such as the Beijing declaration [ 5 ] and World Health Assembly resolutions [ 6 ], the WHO urges member states to integrate evidence- based complementary medicine into their national health systems, i.e.…”

Section: Introductionmentioning

confidence: 99%

Capitalizing on Synergies—A Discourse Analysis of the Process of Collaboration Among Providers of Integrative Health Care

et al. 2015

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BackgroundIntegrative health care (IHC) combines therapies and providers from complementary and conventional health care. Previous studies on IHC have shown power relations between providers but few studies have explored how the interaction develops over time. The objective of this study was to explore the development of IHC collaboration and interaction among participating providers during a series of consensus case conferences for managing patients with back and neck pain.MethodsThis qualitative study was conducted within a pragmatic randomized controlled clinical trial in primary care. Patients' treatment plans were developed based on IHC provider consensus conferences (n = 26) of which 15 (5 of the first, 5 in the middle, and 5 of the last in the clinical trial) were selected for analysis. Findings were derived by means of discourse analysis, focusing on the participants’ use of subject positions during the conferences.FindingsThe IHC team in this study gradually formed a group identity, moving their subject positions from individual treating subjects to members of a team and were able to make consensus-based decisions about patients’ individual treatment plans. In the discourse, the IHC team identified collaborative shortcomings and problematized the provision of IHC. They were able to capitalize on the synergies in their collaboration and developed a shared vision of IHC provision.ConclusionsThe process of IHC collaboration involved the gradual formation of an IHC team identity, which facilitated interdisciplinary, non-hierarchical consensus-based decision-making in the team. The discourse further suggests that a reform of some legal and organizational health sector barriers might be needed to realize sustainable implementation of IHC services in Sweden.

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Evidence-informed integrative care systems—The way forward

Cited by 13 publications

References 39 publications

Practitioners’ use of shared concepts in anthroposophic pain rehabilitation

Practitioners’ use of shared concepts in anthroposophic pain rehabilitation

Von «Kreml-Methoden» zum «Vertrauensprinzip»: 15 Jahre WZW-Kontroverse zum Verbleib der ärztlichen Komplementärmedizin in der sozialen Grundversicherung der Schweiz

Capitalizing on Synergies—A Discourse Analysis of the Process of Collaboration Among Providers of Integrative Health Care

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