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Creating successful integrative medicine: A case study under the lens of quantum organizational theory.

机译：创造成功的中西医：以量子组织理论为视角的案例研究。

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摘要

The conventional healthcare system in the United States has been a matter of great concern for the public and private sectors for numerous decades. In addition to accusations of ineffective care with injudicious reimbursement practices, the current healthcare system is charged with lacking patient-centered care. Some view integrated medicine (IM) as the answer to America's healthcare dilemma. However, research regarding an IM model of care and specifically how to successfully create IM within a conventional medical setting is lacking. This study addresses this void in the literature.;A case study design was applied to the research based on its ability to offer an in depth firsthand examination of factors that contribute to successful integration. An IM facility identified by the Bravewell Collaborative as successfully providing integrative medicine in the United States was selected as the research site. Quantum organizational theory (QOT), specifically Kilmann's (2001) seven attributes of QOT, was the theoretical framework through which the study of the successful integration of complementary health approaches (CHP) into conventional medical settings was informed.;Data were collected from 3 sources: one-on-one, in person interviews with key leaders, firsthand observation in public areas, and archival data. The researcher developed and used two tools including a set of open-ended questions and a checklist of observable quantum organization (QO) traits. The logic model framework was used to interpret the data.;Findings from the study revealed that the attributes of QOT successfully allowed the expression and interpretation of the tenets of IM. Findings further showed that key leaders of the IM clinic and the clinic as an organizational system held the principles representative of all 7 key attributes that characterize a QO. The study demonstrated that the key element involved in the integration process is an internal human shift in the self-aware consciousness of key leaders rather than an external act of blending complementary treatment modalities with conventional medical practices. The fact that this study shows human enlightenment as the catalyst for the integration of approaches to healthcare suggests that intangible qualities such as Spirit are fundamental to the expansion of IM in the United States.
机译：数十年来，美国的常规医疗保健系统一直是公共和私营部门极为关注的问题。除了以不合理的报销方式指控无效护理外，目前的医疗体系还被指控缺乏以患者为中心的护理。有人将综合医学（IM）视为解决美国医疗困境的方法。但是，缺乏关于IM护理模型，尤其是如何在常规医疗环境中成功创建IM的研究。这项研究解决了文献中的空白。基于案例研究设计的能力，它能够对有助于成功整合的因素进行深入的第一手检查。被Bravewell合作社确定为在美国成功提供中西医结合的IM设施被选为研究地点。量子组织理论（QOT），特别是Kilmann（2001）的QOT的七个属性，是理论框架，通过该理论框架，研究了将补充健康方法（CHP）成功整合到常规医疗环境中的研究。 ：与主要领导人进行一对一的面谈，在公共场所的第一手观察以及档案数据。研究人员开发并使用了两种工具，包括一组开放式问题和可观察到的量子组织（QO）特性清单。逻辑模型框架被用来解释数据。研究的结果表明，QOT的属性成功地允许了IM的表达和解释。调查结果进一步表明，IM诊所的主要领导者以及作为组织系统的诊所，其原则代表了代表QO的所有7个关键属性。该研究表明，整合过程中涉及的关键因素是关键领导者自我意识的内部人性转变，而不是将补充治疗方式与常规医学实践相结合的外部行为。这项研究表明人类的启发是整合医疗保健方法的催化剂，这一事实表明，诸如Spirit之类​​的无形品质对于在美国扩展IM至关重要。

著录项

  • 作者

    Lawrence, Lyn Francinne.;

  • 作者单位

    Saybrook University.;

  • 授予单位 Saybrook University.;
  • 学科 Health care management.;Spirituality.;Operations research.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 166 p.
  • 总页数 166
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 整形外科学（修复外科学）;
  • 关键词

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