Mitigating Barriers to Patient-centred Knowledge Sharing - A Case-study of Knowledge Sharing Problems in the Collaboration of Traditional and Western Practitioners in Chinese Hospitals

Lihong Zhou, Miguel Baptista Nunes, Wenwen Liu

2013

Abstract

This paper reports a research study that aims to mitigate and overcome barriers to the sharing of patient-centred knowledge in the interprofessional collaboration of Traditional Chinese Medicine (TCM) and Western Medicine (WM) professionals in Chinese hospitals. This research adopted a Grounded Theory (GT) approach as the overarching methodology to guide the analysis of the data collected in a single case-study design. A public hospital in central China was selected as the case-study site, at which 49 informants were interviewed by using semi-structured and evolving interview scripts. Through the analysis of the interview data using GT analysis methodology, 11 KS barriers emerged. With a further conceptualisation of the KS barriers identified, it became clear that KS is mainly hindered by philosophical and professional tensions between TCM and WM practitioners. Therefore, in order to improve KS and mitigate the two types of interprofessional tensions, three strategies are proposed based on the findings of this study, namely: (1) formalising KS processes and exploring effective communication channels; (2) establishing specific interprofessional training schemes and programmes; (3) eliminating imbalances of professional power and statues and creating conducive KS environment.

References

  1. Abidi, S., 2007. “Healthcare Knowledge Sharing: Purpose, Practices, and Prospects”. In Bali R and Dwivedi A (eds) Healthcare Knowledge Management: Issues, Advances, and Successes, Springer. New York.
  2. Fruehauf, H., 1999. “Chinese Medicine in Crisis”. Journal of Chinese Medicine, 61: 1-9.
  3. Chen, C., 1989. Medicine in Rural China, University of California Press. Los Angeles.
  4. Cheng, J., 2000. “Review: Drug Therapy in Chinese Traditional Medicine”. Journal of Clinical Pharmacology, 40: 445-450.
  5. Chi, C., 1994. “Integrating Traditional Medicine into Modern Health Care Systems: Examing the Role of Chinese Medicine in Taiwan”. Social Science & Medicine, 39 (3): 307-321.
  6. Dally, A., 2003. The Trouble with Doctors: Fashions Motives and Mistakes, Robson Books. London.
  7. Fennessy, G., Burstein, F., 2007. “Role of Information Professionals as Intermediaries for Knowledge Management in Evidence-Based Healthcare”. In Bali R and Dwivedi A (eds) Healthcare Knowledge Management: Issues, Advances, and Successes, Springer. New York.
  8. Fitzgerald, F., 1990. “Physical Diagnosis Versus Modern Technology - A Review”. The Western Journal of Medicine, Apr(152): 377 - 382.
  9. Goldman, L., Ausiello, D., 2008. Cecil Medicine: An Expert Consult Title Online + Print, Saunders Elsevier. Philadelphia, 23rd edition.
  10. Guo, F., 2006. “Discussion of the Theories of the Integration of Traditional Chinese Medicine and Western Medicine”. Journal of Clinical and Experimental Medicine (in Chinese), 5 (4): 408-409.
  11. Hyatt, R., 1978. Chinese Herbal Medicine: Ancient Art and Modern Science, Wildwood House Limited. London.
  12. Hu, G., 2009. “Take Patient as the Centre and Provide Premium Services”. Jiangsu Healthcare Industry Management (in Chinese), 20(3): 49-50.
  13. Ipe, M., 2003. “Knowledge Sharing in Organisations: A Conceptual Framework”. Human Resource Development Review, 2(4): 337-359.
  14. Liu, L., 2003. Considering Traditional Chinese Medicine (in Chinese), Guangxi Normal University. Guilin.
  15. Kaptchuk, T., 2000. The Web that Has No Weaver: Understanding Chinese Medicine, McGraw Hill. New York.
  16. Ma, X., 1999. “Between Two Worlds: the Use of Traditional and Western Health Service by Chinese Immigrants”. Journal of Community Health, 24 (6): 421-437.
  17. Maciocia, G., 1989. The Foundations of Chinese Medicine: A Comprehensive Text for Acupuncturists and Herbalists, Churchill Livingstone. London.
  18. Maizes, V., Rakel, D., Niemiec, C., 2009. “Integrative Medicine and Patient-Centred Care”. Explore: The Journal of Science of Healing, 5 (5): 277-289.
  19. Sherman, K., et al., 2005. “The Practice of Acupuncture: Who Are the Providers and What Do They Do?” Annals of Family Medicine, 3 (2): 151-158.
  20. Smith, R., 1996. “Information in Practice”. British Medical Journal, 313: 1062-1068.
  21. Steward, M., 2001. Towards a Global Definition of Patient Centred Care: The Patient should be the Judge of Patient Centred Care. British Medical Journal, 322, 444-445.
  22. Strauss, A., Corbin, J., 1998. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, Sage Publications. London.
  23. Sun, C., 2003. “Research in Communication of Traditional Chinese Medicine and Western Medicine Doctors”. Journal of Nanjing University of Traditional Chinese Medicine (in Chinese), 4(1), 6-9.
  24. Taylor, K., 2004. “Divergent Interests and Cultivated Misunderstanding: The Influence of the West on Modern Chinese Medicine”. Social History of Medicine, 17 (1): 93-111.
  25. Unschuld, P. 1985. Medicine in China: A History of Ideas, The University of California Press. Los Angeles.
  26. Warrell, D., et al., 2005. Oxford Textbook of Medicine, Oxford University Press. New York.
  27. Wang, X., et al., 2004. “A Self-Learning Expert System for Diagnosis in Traditional Chinese Medicine”. Expert System with Application, 26(4): 557-566.
  28. Wong, T., Wong, S., Donna, S., 1993. “Traditional Chinese Medicine and Western Medicine in Hong Kong: A Comparison of the Consultation Processes and Side Effects”. Journal of Hong Kong Medical Association, 45: 278-284.
  29. Yang, Y., 2005. “Discussion of the Integration of Traditional Chinese Medicine and Western Medicine”. China and Foreign Medical Journal (in Chinese), 3 (1): 84-86.
  30. Zhong, H., 2009. “The Patient-Centred Care and Hospital Marketing Strategies”. Management Observation (in Chinese), October: 234-235.
  31. Zhou, L., Nunes, M., 2012. “Identifying Knowledge Sharing Barriers in the Collaboration of Traditional and Western Medicine Professionals in Chinese Hospitals: A case study”. Journal of Librarianship and Information Science, 44 (4): 238-248.
  32. Zhou, L., Vasconcelos, A., Nunes, M., 2010. “Identifying Knowledge Sharing Barriers in Interprofessional Healthcare Collaboration of Traditional and Western Medicine in China”. In Proceedings of IADIS International Conference on Information Systems 2010, 18-20 March 2010, Porto, Portugal.
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Paper Citation


in Harvard Style

Zhou L., Baptista Nunes M. and Liu W. (2013). Mitigating Barriers to Patient-centred Knowledge Sharing - A Case-study of Knowledge Sharing Problems in the Collaboration of Traditional and Western Practitioners in Chinese Hospitals . In Proceedings of the International Conference on Knowledge Discovery and Information Retrieval and the International Conference on Knowledge Management and Information Sharing - Volume 1: KMIS, (IC3K 2013) ISBN 978-989-8565-75-4, pages 298-307. DOI: 10.5220/0004546002980307


in Bibtex Style

@conference{kmis13,
author={Lihong Zhou and Miguel Baptista Nunes and Wenwen Liu},
title={Mitigating Barriers to Patient-centred Knowledge Sharing - A Case-study of Knowledge Sharing Problems in the Collaboration of Traditional and Western Practitioners in Chinese Hospitals},
booktitle={Proceedings of the International Conference on Knowledge Discovery and Information Retrieval and the International Conference on Knowledge Management and Information Sharing - Volume 1: KMIS, (IC3K 2013)},
year={2013},
pages={298-307},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004546002980307},
isbn={978-989-8565-75-4},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Knowledge Discovery and Information Retrieval and the International Conference on Knowledge Management and Information Sharing - Volume 1: KMIS, (IC3K 2013)
TI - Mitigating Barriers to Patient-centred Knowledge Sharing - A Case-study of Knowledge Sharing Problems in the Collaboration of Traditional and Western Practitioners in Chinese Hospitals
SN - 978-989-8565-75-4
AU - Zhou L.
AU - Baptista Nunes M.
AU - Liu W.
PY - 2013
SP - 298
EP - 307
DO - 10.5220/0004546002980307