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Kaleidoscopic integration: Advancing the integration of incommensurable knowledge in healthcare guidelines

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  • Lösch, Lea
  • Willems, Willemine
  • Bongers, Marloes
  • Timen, Aura
  • Zuiderent-Jerak, Teun

Abstract

The integration of different types of knowledge in epistemically hierarchical settings remains one of the greatest challenges when developing standards for healthcare practices. In this article, we open up the notion of knowledge integration and empirically examine the various ways in which different types of knowledge interact and can be integrated. To allow us to focus on the diverse forms of knowledge as well as their interaction and integration, we combine Moreira's work on repertoires of evaluation with that of Dewulf and Bouwen on frame interactions.

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  • Lösch, Lea & Willems, Willemine & Bongers, Marloes & Timen, Aura & Zuiderent-Jerak, Teun, 2023. "Kaleidoscopic integration: Advancing the integration of incommensurable knowledge in healthcare guidelines," Social Science & Medicine, Elsevier, vol. 339(C).
    • Handle: RePEc:eee:socmed:v:339:y:2023:i:c:s0277953623007177
    DOI: 10.1016/j.socscimed.2023.116360
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    1. Knaapen, Loes & Cazeneuve, Hervé & Cambrosio, Alberto & Castel, Patrick & Fervers, Beatrice, 2010. "Pragmatic evidence and textual arrangements: A case study of French clinical cancer guidelines," Social Science & Medicine, Elsevier, vol. 71(4), pages 685-692, August.
    2. Moreira, Tiago, 2005. "Diversity in clinical guidelines: the role of repertoires of evaluation," Social Science & Medicine, Elsevier, vol. 60(9), pages 1975-1985, May.
    3. Wieringa, Sietse & Engebretsen, Eivind & Heggen, Kristin & Greenhalgh, Trish, 2021. "Clinical guidelines and the pursuit of reducing epistemic uncertainty. An ethnographic study of guideline development panels in three countries," Social Science & Medicine, Elsevier, vol. 272(C).
    4. Liberati, Elisa Giulia & Gorli, Mara & Scaratti, Giuseppe, 2016. "Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care," Social Science & Medicine, Elsevier, vol. 150(C), pages 31-39.
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