kaleidoscopic 整合:在医疗保健指南中推进无可比拟知识的整合
Lea Lösch1, Willemine Willems1, Marloes Bongers2
1Athena Institute, Faculty of Science, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV, Amsterdam, the Netherlands.
Social science & medicine (1982)
|November 18, 2023
概括
医疗保健指南的制定面临着整合多元知识的挑战. 这项研究确定了八种相互作用模式,表明整合可以在保持差异的同时发生,这对于强大的标准至关重要.
科学领域:
- 医疗保健政策 医疗保健政策
- 知识管理知识管理
- 科学的社会学科学社会学.
背景情况:
- 整合多样化的知识对于制定医疗保健标准至关重要.
- 经验层次的设置为知识整合带来了重大挑战.
- 了解知识互动的现有框架是有限的.
研究的目的:
- 探索和实证检查知识整合在医疗保健中的概念.
- 在准则制定过程中识别和分析知识相互作用的不同模式.
- 提出促进有效知识整合在协作环境中的战略.
主要方法:
- 结合了评估和框架交互的理论框架.
- 利用70多个指南制定会议 (2021-2022) 的民族学观察结果.
- 专注于荷兰COVID-19疫苗接种指南的制定.
主要成果:
- 确定了八种不同的知识交互模式:断开连接,两极分化,适应,纳入,重新连接,和解,被动对立和 kaleidoscopic 集成.
- 证明了知识整合可以在保留差异和不兼容性的情况下实现.
- 突出了指导方针制定者使用的知识类型和推理的多样性.
结论:
- 知识整合是一个复杂的过程,具有各种各样的交互模式.
- 有效的整合需要承认和维持不同类型的知识之间的紧张关系.
- 促进对框架和作品集的明确反思可以增强协作知识互动.
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