a Department of Business Administration , Lund University School of Economics and Management.
b Department of Technology Management and Economics, Chalmers University of Technology.
Health Commun. 2018 Jul;33(7):800-808. doi: 10.1080/10410236.2017.1314854. Epub 2017 May 3.
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.
在医疗保健领域，系统集成如何进一步发展？本文通过批判性地探讨欣赏式探询通过大规模群体干预加速系统集成的潜力来解决这个问题。我们分析了一个为期一天的对话研讨会，旨在让“整个系统都参与进来”，以改善瑞典西南部一个地区卫生局的癌症护理。我们将系统集成视为社会化和增强共同理解，因此我们认为话语可能在将系统中的各个利益相关者聚集在一起方面发挥关键作用。然而，我们对该事件的小组讨论的分析表明，在欣赏式探询的讨论主题中，共同理解的程度可能有很大差异。我们认为，“患者”作为一种语言符号，可以充当边界指示符，使在场的人能够以有意义和连贯的方式进行互动，但这并不能实现系统集成。
