Green Christopher
School of Health and Human Sciences, Elmer Approach, University of Essex , Southend-on-Sea , UK.
J Interprof Care. 2014 Mar;28(2):116-22. doi: 10.3109/13561820.2013.867840. Epub 2013 Dec 20.
This article offers a critical sociological rendering of the making of the interprofessional arena in the United Kingdom. It offers an interpretation of the conditions that led to the formation, expansion and development of the interprofessional arena using a social worlds/arenas lens of secondary data. I propose that the making of the interprofessional arena has been achieved in three historiographical phases. First, the "recognition of the professionalisation conundrum" that led to the intuitive assumption that interprofessional education (IPE) could lead to improved collaboration in practice and improved outcomes. Second, the "legitimisation" of the interprofessional assumption through the development of networks, building consensus, nurturing an evidence base and negotiating with policymakers. Third, "Talking up and acting up" the interprofessional agenda by developing global communities of practice, pandering to a neoliberal agenda, disseminating exemplars of good practice and encouraging practical changes within diverse settings. Articulating these historical "moments" may allow us insights into the conditions that have created the contemporary interprofessional arena and offer us ways of considering how present conditions may re-shape the discourses that constitute the interprofessional arena of the future.
本文对英国跨专业领域的形成进行了批判性的社会学阐释。它运用社会世界/领域的视角,通过二手数据对导致跨专业领域形成、扩张和发展的条件进行了解读。我认为跨专业领域的形成经历了三个历史阶段。首先是“对专业化难题的认识”,这导致了一种直观的假设,即跨专业教育(IPE)能够促进实践中的合作并改善成果。其次是通过建立网络、达成共识、培育证据基础以及与政策制定者协商,使跨专业假设“合法化”。第三是通过发展全球实践社区、迎合新自由主义议程、传播良好实践范例以及鼓励在不同环境中进行实际变革,来“宣扬并践行”跨专业议程。阐明这些历史“时刻”或许能让我们洞察造就当代跨专业领域的条件,并为我们提供思考当前状况如何重塑构成未来跨专业领域话语的方式。