The Difference Between Integration and Collaboration in Patient Care: Results From Key Informant Interviews Working in Multiprofessional Health Care Teams

Journal of Manipulative and Physiological Therapeutics

Volumn 32, Issue 9, 2009, Pages 715-722

  Boon, Heather S ^a,b   Mior, Silvano A ^c   Barnsley, Jan ^b   Ashbury, Fredrick D ^a,b,d   Haig, Robert ^e  

^a UNIVERSITY OF TORONTO   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c CANADIAN MEMORIAL CHIROPRACTIC COLLEGE   (Canada)

^d PICEPS Consultants Inc   (Canada)

^e Ontario Medical Association   (Canada)

Author keywords

Chiropractic; Delivery of Health Care, Integrated; Integrative Medicine; Medicine; Qualitative Research

Indexed keywords

ARTICLE; CHIROPRACTIC; CONTENT ANALYSIS; HEALTH CARE DELIVERY; INTEGRATIVE MEDICINE; PATIENT CARE; PHYSICIAN; SEMI STRUCTURED INTERVIEW; TAPE RECORDER; TEAMWORK;

COMPLEMENTARY THERAPIES; COOPERATIVE BEHAVIOR; HUMANS; INTERDISCIPLINARY COMMUNICATION; INTERVIEWS AS TOPIC; PATIENT CARE; PATIENT CARE TEAM;

EID: 71249087704     PISSN: 01614754     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jmpt.2009.10.005     Document Type: Article

References (54)

1. de Haes H. Dilemmas in patient-centeredness and shared decision making: a case for vulnerability. Patient Educ Couns 62 (2006) 291-298
2. Engel G.L. The need for a new medical model: a challenge for biomedicine. Science 196 (1977) 129-136
3. Johnson C., Baird R., Dougherty P.E., Globe G., Green B.N., et al. Chiropractic and public health: current state and future vision. J Manipulative Physiol Ther 31 (2008) 397-410
4. Stewart M. Towards global definition of patient centred care. BMJ 322 (2001) 444-445
5. Smitherman G. Ontario's transformation plan: purpose and progress. Speaking notes for Minister of Health and Long Term Care. St. Lawrence Market North Building (2004). http://www.longwoods.com/opinions/SmithermanSept-04.pdf
6. Institute of Medicine of the National Academies. Complementary and alternative medicine in the United States (2005), The National Academies press, Washington, DC
7. Romanow R. Building on values: the future of health care in Canada-final report: Commission on the Future of Health Care in Canada (2002), Health Canada, Ottawa
8. Kirby M. The health of Canadians-the federal role (2001), Standing Committee on Social Affairs, Science and Technology, Ottawa. Available from: www.parl.gc.ca
9. World Health Organization. Primary health care: now more than ever (The World Health Report 2008) (2008), WHO Press, Geneva
10. Oandasan I., Baker R., Barker K., et al. Teamwork in health care: promoting effective teamwork in healthcare in Canada-policy synthesis and recommendations (2006), Canadian Health Services Research Foundation, Ottawa
11. Pringle D., Levitt C., Horsburgh M., Wilson R., and Whittaker M. Interdisciplinary collaboration and primary health care reform. Can J Public Health 91 (2000) 85-86
12. Howes J., Sullivan D., Lai N., et al. The effects of dietary supplementation with isoflavones from red clover on the lipoprotein profiles of post menopausal women with mild to moderate hypercholesterolaemia. Atherosclerosis 152 (2000) 143-147
13. Kinnaman M., and Bleich M. Collaboration: aligning resources to create and sustain partnerships. J Prof Nurs 20 (2004) 310-322
14. Holgers K.M., Axelsson A., and Pringle I. Ginkgo biloba extract for the treatment of tinnitus. Audiology 33 (1994) 85-92
15. Sullivan T. Collaboration: a health care imperative (1998), McGraw-Hill, New York
16. Way D., Jones L., and Busing N. Implementation strategies: "collaboration in primary care-family doctors & nurse practitioners delivering shared care" (2000), The Ontario College of Family Physicians, Toronto
17. Sicotte C., D'Amour D., and Moreault M. Interdisciplinary collaboration within Quebec community health care centres. Soc Sci Med 55 (2000) 991-1003
18. Hudson B. Prospects of partnership. Health Serv J 108 (1998) 26-27
19. Boon H., Verhoef M., O'Hara D., and Findlay B. From parallel practice to integrative health care: a conceptual framework. BMC Health Serv Res 4 (2004) 15
20. Boon H., Verhoef M., O'Hara D., Findlay B., and Majid N. Integrative health care: arriving at a working definition. Altern Ther Health Med 10 (2004) 48-56
21. Program of Integrative Medicine The University of Arizona. Program in integrative medicine (homepage on the Internet). [cited Dec 13 2008]; Available from: (2008). http://integrativemeidcine.arizona.edu/about/definition.html
22. Willms L., and St Pierre-Hansen N. Blending in: Is integrative medicine the future of family medicine?. Can Fam Physician 54 (2008) 1085-1087
23. Hsiao A.-F., Ryan G., Hays R., ID C., Andersen R., and Wenger N. Variations in provider conceptions of integrative medicine. Soc Sci Med 62 (2006) 2973-2987
24. Ramsay C., Walker M., and Alexander J. Alternative medicine in Canada: use and public attitudes. Public Policy Sources Number 21 (1999), The Fraser Institute, Vancouver
25. Park J. Use of alternative health care. Health Reports (Statistics Canada) 16 (2005) 39-42
26. Mior S.A., and Laporte A. Economic and resource status of the chiropractic profession in Ontario, Canada: a challenge or an opportunity?. J Manipulative Physiol Ther 31 (2008) 104-114
27. Agency for Health Policy and Research (AHCPR). Acute low back pain problems in adults (1994), Agency for Health Policy and Research, Washington, DC
28. Royal College of General Practitioners (RCGP). Low back pain evidence review (1998), Royal College of General Practitioners UK, London
29. Danish Institute for Health Technology Assessment. Low back pain: frequency, management and prevention for an HTA perspective (1999)
30. Swedish Council on Technology Assessment in Health Care. Back pain, neck pain, 2000 (2000)
31. Work Safety and Insurance Board (WSIB). Chronic pain initiative : report of the chair of the Chronic Pain Panels (2000), Work Safety and Insurance Board, Ontario
32. Pasternak D., Lehnam J., Smith H., and Piland N. Can medicine and chiropractic practice side-by-side? Implications for healthcare delivery. Hosp Top: Res Perspect Healthc 77 (1990) 8-17
33. Triano J., and Hansen D. Chiropractic and quality care, are they exclusive?. QME Q 3 (2000) 6-15
34. Weeks J. The emerging role of alternative medicine in managed care. Drug Benefit Trends. 1997;9(4):14-6, 25-8.
35. Meeker W.C. Public demand and the integration of complementary and alternative medicine in the US health care system. J Manipulative Physiol Ther 23 (2000) 123-126
36. Till G., and Till H. Integration of chiropractic education into a hospital setting: a South African experience. J Manipulative Physiol Ther 23 (2000) 130-133
37. Schneider J., and Gilford S. Part IV. The chiropractor's role in pain management for oncology patients. Curr Probl Cancer (2000) 232-242
38. Smith M., Greene B., and Meeker W. The CAM Movement and the integration of quality health care: the case of chiropractic. J Ambul Care Manage (2002) 1-16
39. Barrett B. Alternative, complementary, and conventional medicine: is integration upon us?. J Altern Complement Med 9 (2003) 417-427
40. Pelletier K.R., Astin J.A., and Haskell W.L. Current trends in the integration and reimbursement of complementary and alternative medicine by managed care organizations (MCOs) and insurance providers: 1998 update and cohort analysis. Am J Health Promot 14 (1999) 125-133
41. Astin J., Marie A., Pelletier K., Hansen E., and Haskell W. A review of the incorporation of complementary and alternative medicine by mainstream physicians. Arch Intern Med 158 (1998) 2303-2310
42. Villanueva-Russell Y. Evidence-based medicine and its implications for the profession of chiropractic. Soc Sci Med 60 (2005) 545-561
43. Breen A., Carrington M., Collier R., and Vogel S. Communication between general and manipulative practitioners: a survey. Complement Ther Med 8 (2000) 8-14
44. Brussee W., Assendelft W., and Breen A. Communication between general practitioners and chiropractors. J Manipulative Physiol Ther 24 (2001) 12-16
45. Mior S.A., Barnsley J., Boon H., Ashbury F.D., and Haig R.D. Designing a model of collaborative health care delivery: chiropractic services and primary care. J Interprof Care (2009) [Submitted for publication]
46. Strauss A., and Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory (1998), SAGE Publications, Thousand Oaks
47. Patton M.Q. Qualitative evaluation and research methods. 2nd ed (1990), Sage Publications, Newbury Park
48. Jackson W. Methods: doing social research third ed (2003), Prentice-Hall, Toronto
49. Poland B. Transcription quality. In: Gubrium J., and Holstein J. (Eds). Handbook of interview research: context and method (2002), SAGE Publications, Thousand Oaks 629-650
50. Consortium of Academic Health Centers for Integrative Medicine [homepage on the Internet]. Minneapolis. [cited 2009 February 13]; Available from: (2009). http://www.imconsortium.org
51. Consortium of Academic Health Centers for Integrative Medicine Working Group on Education. Curriculum in integrative medicine: a guide for medical educators. [cited Feb 27, 2009]; Available from: (2004). http://www.imconsortium.org/img/assets/20825/CURRICULUM_final.pdf
52. Mizarchi N., Shuval J.T., and Gross S. Boundary at work: alternative medicine in biomedical settings. Soc Health Ill 27 (2005) 20-43
53. Shuval J., and Mizrachi N. Changing boundaries: modes of coexistence of alternative and biomedicine. Qual Health Res 14 (2004) 675-690
54. Kates N, Craven M. Family medicine and psychiatry. Opportunities for sharing mental health care. Can Fam Physician. 1999;45:2561-3, 72-4.