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Whole System in the Room : Toward Systems Integration in Healthcare

Huzzard, Tony LU ; Hellström, Andreas and Lifvergren, Svante (2017) In Health Communication
Abstract

How might systems integration be furthered in healthcare? The paper addresses this by exploring critically the potentials of appreciative inquiry for accelerating systems integration through a large group intervention. We analyze a one-day dialog workshop to get “the whole system in the room” to improve cancer care in a regional health authority in south west Sweden. Seeing systems integration as socialization and enhanced common understandings, we suggest that discourse may play a crucial role in bringing together the various stakeholders in the system. Our analysis of the group discussions of the event demonstrates however that the degree of shared understanding can vary considerably across the discussion themes of appreciative... (More)

How might systems integration be furthered in healthcare? The paper addresses this by exploring critically the potentials of appreciative inquiry for accelerating systems integration through a large group intervention. We analyze a one-day dialog workshop to get “the whole system in the room” to improve cancer care in a regional health authority in south west Sweden. Seeing systems integration as socialization and enhanced common understandings, we suggest that discourse may play a crucial role in bringing together the various stakeholders in the system. Our analysis of the group discussions of the event demonstrates however that the degree of shared understanding can vary considerably across the discussion themes of appreciative inquiry. We argue that the “patient,” as a linguistic artifact, can act as a boundary signifier that enables those present to interact in a meaningful and coherent way but that this stops short of systems integration.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Health Communication
pages
9 pages
publisher
Routledge
external identifiers
  • scopus:85018982742
ISSN
1041-0236
DOI
10.1080/10410236.2017.1314854
language
English
LU publication?
yes
id
062c482e-38ed-4497-aae9-33ef22e0a21c
date added to LUP
2017-05-31 09:43:02
date last changed
2018-01-07 12:05:40
@article{062c482e-38ed-4497-aae9-33ef22e0a21c,
  abstract     = {<p>How might systems integration be furthered in healthcare? The paper addresses this by exploring critically the potentials of appreciative inquiry for accelerating systems integration through a large group intervention. We analyze a one-day dialog workshop to get “the whole system in the room” to improve cancer care in a regional health authority in south west Sweden. Seeing systems integration as socialization and enhanced common understandings, we suggest that discourse may play a crucial role in bringing together the various stakeholders in the system. Our analysis of the group discussions of the event demonstrates however that the degree of shared understanding can vary considerably across the discussion themes of appreciative inquiry. We argue that the “patient,” as a linguistic artifact, can act as a boundary signifier that enables those present to interact in a meaningful and coherent way but that this stops short of systems integration.</p>},
  author       = {Huzzard, Tony and Hellström, Andreas and Lifvergren, Svante},
  issn         = {1041-0236},
  language     = {eng},
  month        = {05},
  pages        = {9},
  publisher    = {Routledge},
  series       = {Health Communication},
  title        = {Whole System in the Room : Toward Systems Integration in Healthcare},
  url          = {http://dx.doi.org/10.1080/10410236.2017.1314854},
  year         = {2017},
}