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/ Naomi B. Rather
Naomi B. Rather
Collaboration Across Disciplines in a Private Practice Healthcare Setting
In countries with multiple options for healthcare, it is common for people to seek the services of more than one healthcare provider.
Those services are likely to be provided outside of a hospital setting, where there are fewer opportunities for collaboration.
Patients may seek additional help in the form of herbs, tinctures, vitamins and other non-prescribed medicines, which can impact the safety or efficacy of prescribed medicines.
These patients are often quite vulnerable, perhaps suffering from:
Chronic pain that’s difficult to treat.
Loneliness, lack of support.
Emotional or physical disabilities.
Healthcare providers in private practice are paid only for the time they see patients---not for collaborating.
They may have few or short interactions with patients.
They are often isolated from practitioners of different disciplines.
They may have limited experience with collaboration across disciplines.
A new idea about how providers could talk about cases was introduced to a group of 22 healthcare practitioners who shared office space.
A small subgroup of practitioners chose to meet monthly for the next 18 months.
The participants developed a connection that allowed them to both support and challenge each other.
New ideas about healthcare emerged in the process, benefiting patients and providers.
Collaboration across disciplines seemed to be linked to valuing multiple perspectives, outside one’s own discipline.
An ability to engage in dialogue that is open and curious and mutually respectful, without any pre-conceived agendas.
A relational connection between collaborators that reflects the above, and provides sufficient safety to generate new ideas.
Suggestions for others who wish to collaborate across disciplines in healthcare include patients requesting that their various healthcare providers engage in collaborative dialogue about their care.
Professional organizations can recommend collaboration across disciplines as part of guidelines for ethical care.
Medical and Allied Healthcare training programs can instill and foster these values during training, through Interprofessional Education.
Technology can be utilized to foster collaboration across disciplines, through shared medical records or notes.
Dissertation Table of Contents
Nelvia Victoria Lugo Agudelo
Irene Giovanni Aguilar
Tahereh Barati Bagherabad
Susanne Lucie Bauer
Kelly J. Swauger Cummings
Patricia Da Silva
Deborah Ellen Deeter
Lesley Lahaye & Larry Espe
Diego Tapia Figueroa
Maureen Ellen Hakala
Carol Lorraine Hedtke
David Anderson Hooker
Michael Anthony Keane
C. McKenna Lang
Gro Emmertsen Lund
Frances Elizabeth Lyon-Dugin
Kon Kornelio Madut
Stephanie Ann McCune
Joan Marques & Satinder Dhiman
Sidney Allen Moore
Elaine Beth Peresluha
Ivan Alexander Pupulidy
Teresa Quintana Püschel
Naomi B. Rather
Susan Kay Riva-Mossman
Shayamal Kumar Saha
Colin James Sanders
Kate Lindley Scheidegger
Tobias Raphael Schüth
Doug Shadel & Karla Pak
Jeff St. John
Lisa K. Sydow
Yossi Tal & Itzik Lichtenfeld
Dora Adolfina Ayora Talavera
Bill Blaine Wallace
Lorri A. Yasenik