Can the language used and the patterns of communication differentiate a multidisciplinary team from an interprofessional team? This research question arose from an unexpected outcome of a study that investigated clinical reasoning of health professional team members in the elder care wards of two different hospitals. The issue at stake was the apparent disparity in the way in which the two teams communicated. To further explore this, the original transcribed interview data was analysed from a symbolic interactionist perspective in order that the language and communication patterns between the two teams could be identified and compared. Differences appeared to parallel the distinctions between multidisciplinary and interprofessional teams as reported in the literature. Our observations were that an interprofessional team was characterized by its use of inclusive language, continual sharing of information between team members and a collaborative working approach. In the multidisciplinary team, the members worked in parallel, drawing information from one another but did not have a common understanding of issues that could influence intervention. The implications of these communication differences for team members, team leaders and future research are then discussed.

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This chapter examines Samuel Taylor Coleridge’s ‘Theory of Life’ (1816/1848) and his theory of knowledge, discussed in Biographia Literaria (1817), through the lens of autopoietic enaction. It focuses on parallels between historical and contemporary theories, particularly their philosophical underpinnings, and argues that Coleridge’s theories are an important alternative to Cartesian accounts of the mind. Interrogating these theories in terms of enactive concepts, such as structural coupling, dynamic co-emergence, and mutual co-dependence, exposes the inherent embodied, embedded, and enacted premises on which Coleridge’s theory of cognition relies. The relationship between the subject and the object implicit in dualist and materialist theories reveals the effects assumptions about this relationship have on the way human beings understand themselves in relationship to nature and their own bodies – effects that are frequently inimical. The chapter concludes that Coleridge and the enactive approach offer valuable options for overcoming the schism between consciousness and nature, mind and world.

Background:The goal of this study was to examine variability across the 92 Indiana counties in missed opportunities for HPV vaccination and to assess county-level correlates of missed opportunities. Methods:The Indiana immunization registry provided county level data on 2017 missed opportunity rates for adolescents ages 11-18. A missed opportunity was an encounter when a patient eligible for HPV vaccination received one or more other recommended vaccines, but not HPV. Potential county-level correlates of missed opportunities included race, income, insurance