Boundary objects in complementary and alternative medicine: Acupuncture vs. Christian Science

Owens, Kellie

doi:10.1016/j.socscimed.2014.12.020

Cited by 13 publications

(4 citation statements)

References 26 publications

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“…Qualitative research has elaborated various forms boundary objects can take (Fox, 2011;Swan et al, 2007), the processes by which they foster, or limit, collaboration (Oswick and Robertson, 2009) and the relationship between objects, boundaries and social worlds (Bechky, 2003;Swan et al, 2007). For instance, theories (Fox, 2011), phrases (Brand and Jax, 2007), and practices (Owens, 2015) have all been interpreted as boundary objects with variable implications for collaboration. Within healthcare, Allen's (2009;2014b) research examines collaboration between professional, managerial and service user groups in the process of developing new care pathways.…”

Section: Boundaries and Boundary Objects In The Coordination Of Carementioning

confidence: 99%

From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge

Bishop¹,

Waring

2019

Social Science & Medicine

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Where a licence is displayed above, please note the terms and conditions of the licence govern your use of this document. When citing, please reference the published version. Take down policy While the University of Birmingham exercises care and attention in making items available there are rare occasions when an item has been uploaded in error or has been deemed to be commercially or otherwise sensitive.

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Section: Boundaries and Boundary Objects In The Coordination Of Carementioning

confidence: 99%

From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge

Bishop¹,

Waring

2019

Social Science & Medicine

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“…Medical professionals sometimes have sought to contain the challenge of CAM, but they perhaps have been more successful in incorporating some alternative practices, such as positive visualization in cancer care. At the same time, specific features of alternative practices, such as acupuncturists’ use of a commonplace medical technology—the sterile needle—may facilitate their integration into routine health care (Owens 2015). Through incorporation, alternative practices may lose some of their “otherness”—as when the spiritual aspects of hospice care gradually give way, leaving a core focus on the provision of palliative treatments for pain (Bradshaw 1996).…”

Section: The Shifting Landscape Of Medicine and Healthmentioning

confidence: 99%

From Medicine to Health: The Proliferation and Diversification of Cultural Authority

Epstein

Timmermans

2021

J Health Soc Behav

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In his account of the medical profession’s ascent, Paul Starr drew a distinction between the social authority of physicians and the cultural authority of medicine—between doctors’ capacity to direct others’ behavior and the ability of medical institutions and discourses to shape meanings of illness, health, wellness, and treatment. Subsequently, scholars have reflected on the social-structural transformations challenging physicians’ social authority but neglected shifts in cultural authority. Focusing on the United States, we find a proliferation and diversification of cultural authority, reflecting a partial movement from the domain of medicine into new terrains of health. This shift is apparent in the resurgence of alternative healing, the advent of new forms of self-care and self-monitoring, the rise of health social movements, and the spread of health information online. We advance a research agenda to understand how the mechanisms and dynamics of cultural authority shape contests to speak in the name of health.

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“…Technological artefacts have also been shown to be important in connecting mainstream healthcare with complementary and alternative medicine (Keshet et al, 2013;Owens, 2015).…”

Section: Technological Innovation In Healthcare and The Role Of Boundary Objectsmentioning

confidence: 99%

“…Recent research on technological innovations within healthcare has conceptualized technological artefacts as boundary objects (Smith, 2015;Swan et al, 2007), with stress being placed on the integrative potential of systems (Reed, 2016;Saario, 2012). Technological artefacts have also been shown to be important in connecting mainstream healthcare with complementary and alternative medicine (Keshet et al, 2013;Owens, 2015).…”

Section: Technological Innovation In Healthcare and The Role Of Boundary Objectsmentioning

confidence: 99%

Implementing disruptive technological change in UK healthcare: exploring development of a smart phone app for remote patient monitoring as a boundary object using qualitative methods

Sharp

Bresnen

Austin

et al. 2020

JHOM

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PurposeDeveloping technological innovations in healthcare is made complex and difficult due to effects upon the practices of professional, managerial and other stakeholders. Drawing upon the concept of boundary object, this paper explores the challenges of achieving effective collaboration in the development and use of a novel healthcare innovation in the English healthcare system.Design/methodology/approachA case study is presented of the development and implementation of a smart phone application (app) for use by rheumatoid arthritis patients. Over a two-year period (2015–2017), qualitative data from recorded clinical consultations (n = 17), semi-structured interviews (n = 63) and two focus groups (n = 13) were obtained from participants involved in the app's development and use (clinicians, patients, researchers, practitioners, IT specialists and managers).FindingsThe case focuses on the use of the app and its outputs as a system of inter-connected boundary objects. The analysis highlights the challenges overcome in the innovation's development and how knowledge sharing between patients and clinicians was enhanced, altering the nature of the clinical consultation. It also shows how conditions surrounding the innovation both enabled its development and inhibited its wider scale-up.Originality/valueBy recognizing that technological artefacts can simultaneously enable and inhibit collaboration, this paper highlights the need to overcome tensions between the transformative capability of such healthcare innovations and the inhibiting effects simultaneously created on change at a wider system level.

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Boundary objects in complementary and alternative medicine: Acupuncture vs. Christian Science

Cited by 13 publications

References 26 publications

From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge

From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge

From Medicine to Health: The Proliferation and Diversification of Cultural Authority

Implementing disruptive technological change in UK healthcare: exploring development of a smart phone app for remote patient monitoring as a boundary object using qualitative methods

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