Uncharted Ground : Patterns of Professional Interaction Among Complementary / Alternative and Biomedical Practitioners in Integrative Health Care Settings  

Oleh:

Hollenberg, Daniel

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 3 (Feb. 2006), page 731-744.
Topik: health care; integrative health care; health professions; complementary / alternative medicine; canada

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.1 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The development of integrative health care (HIC) settings combining various aspects of western biomedicine and complementary / alternative medicine (CAM is a relatively recent phenomenon among biomedical and CAM professions). While IHC is recognised internationally and occurs in many different contexts (e.g. clinic or hospital), patterns of interaction between biomedical and CAM practitioners, and the nature of IHC settings, are largely unknown. This paper presents findings froma research study of two newly established IHC settings in canada. The main research question was : how are biomedical and CAM practitioners integrating or not integrating with each other at the level of professional interaction in IHC settings ? Using a case study design, in depth interviews were conducted with 13 biomedical and eight CAM practitioners during 2002 - 2003, and ethnographic observation and document analysis was conducted at each site. Drawing from closure theory of the professons, comaprative analysis of the sites revealed that biomedical practitioners enact patterns of exclusionary and demarcationary closure, in addition to the use of esoteric knowledge by : a. dominating patient charting, referealls and diagnostic tests. b. regulating CAM practitioners to a specific sphere of competence c. appropriating certain CAM techniques from less powerful CAM professions and d. using biomedical language as the primary mode of communication. CAM practitioners, in turn, perform unsurpationary closure strategies by : a. employing their own esoteric knowledge inr elation to biomedicine and other CAM professions b. appropriating biomedical language and terminology c. increasing their professional status by working with biomedicine, and d. referring among CAM practitioners to increase patient flow. The findings suggest that when attempts are made to integrated biomedicine and CAM, dominant biomedical patterns of proffesional interaction continue to exist. Despite continued patterns of social closure, biomedical and CAM practitioners continur to exist. Despite continued patterns of social disclosure, biomedical nad CAM practitioners continue to provide a certain from integrative care that may be of benefit to patients, albeit not as integrative as current models of integration would preer.

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