Abstract
Complex problems in health care are complex issues that resist solution via traditional perspectives and are better tackled through interdisciplinary, systems-level approaches. Interdisciplinary approaches can be difficult to implement in assembled groups of health-care practitioners and researchers from diverse disciplines. We developed a set of four methods intended to explicitly facilitate interdisciplinary collaboration toward the end goal of solving complex problems in health care. This article describes the results of a workshop designed to explore these four methods: (1) deep dives, (2) an explicitly interdisciplinary framework of problem solving and problematizing, (3) exercises from improv theater, and (4) rapid sketching and visualization. Meeting attendees indicated that the workshop provided them with insights and new ways to facilitate interdisciplinary collaboration. These methods show promise for bridging disciplinary differences, opening possibilities for new perspectives, and encouraging more creative and disciplinary-spanning approaches to complex problems in health care.
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References
ABC News. (1999) Nightline. [WWW document] http://www.youtube.com/watch?v=oUazVjvsMHs (accessed 6 June 2012).
Armstrong PW (2006) Advancing interdisciplinary health research: a synergism not to be denied. Canadian Medical Association Journal 175 (7), 761–762.
Carrier E, Gourevitch MN and Shah NR (2009) Medical homes: challenges in translating theory into practice. Medical Care 47 (7), 714–722.
Cheater FM, Hearnshaw H, Baker R and Keane M (2005) Can a facilitated programme promote effective multidisciplinary audit in secondary care teams? An exploratory trial. International Journal of Nursing Studies 42 (7), 779–791.
Checkland P and Poulter J (2010) Soft systems methodology. In Systems Approaches to Managing Change: A Practical Guide (Reynolds M and Holwell S, Eds) pp 191–242, The Open University in Association with Springer-Verlag Limited, London.
Choi BCK and Pak AWP (2006) Multidisciplinarity, interdisciplinarity and transdisciplinarity in health research, services, education and policy: 1. Definitions, objectives, and evidence of effectiveness. Clinical and Investigative Medicine 29 (6), 351–364.
Choi BCK and Pak AWP (2007) Multidisciplinarity, interdisciplinarity, and transdisciplinarity in health research, services, education and policy: 2. Promotors, barriers, and strategies of enhancement. Clinical and Investigative Medicine 30 (6), E224–E232.
Fairbairn B and Fulton M (2000) Interdisciplinarity and the Transformation of the University. Centre for the Study of Co-operatives, University of Saskatchewan, Saskatoon.
Gould DJ, Moralejo D, Drey N and Chudleigh JH (2010) Interventions to improve hand hygiene compliance in patient care. Cochrane Database of Systematic Reviews Online 9, CD005186. doi:10.1002/14651858.CD005186.pub3, 8 (9).
Gray B (1989) Collaborating: Finding Common Ground for Multiparty Problems, p 329, Jossey-Bass, San Francisco.
Jacobs JA and Frickel S (2009) Interdisciplinarity: a critical assessment. Annual Review of Sociology 35 (1), 43–65.
Kellerman R and Kirk L (2007) Principles of the patient-centered medical home. American Family Physician 76 (6), 774–775.
Kelley T and Littman J (2001) The Art of Innovation: Lessons in Creativity from IDEO, America’s Leading Design Firm, pp 6–7, Currency/Doubleday, New York.
Klein JT (2000) A conceptual vocabulary of interdisciplinary science. In Practicing Interdisciplinarity (Weingart P and Stehr N, Eds) pp 3–24, University of Toronto Press, Toronto.
Lattuca LR (2001) Creating Interdisciplinarity: Interdisciplinary Research and Teaching among College and University Faculty. Vanderbilt University Press, Nashville, Tennessee.
Leipzig RM et al (2002) Attitudes toward working on interdisciplinary healthcare teams: a comparison by discipline. Journal of the American Geriatrics Society 50 (6), 1141–1148.
Martin SC, Greenhouse PK, Merryman T, Shovel J, Liberi CA and Konzier J (2007) Transforming care at the bedside: implementation and spread model for single-hospital and multihospital systems. The Journal of Nursing Administration 37 (10), 444–451.
Mingers J and Rosenhead J (2004) Problem structuring methods in action. European Journal of Operational Research 152 (3), 530–554.
Moran J (2010) Interdisciplinarity: The New Critical Idiom, 2nd edn, Routledge, London.
Neumann M, Kreps G and Visser A (2011) Methodological pluralism in health communication research. Patient Education and Counseling 82 (3), 281–284.
Porter AL and Rossini FA (1984) Interdisciplinary research redefined: multi‐skill, problem‐focussed research in the STRAP framework. R&D Management 14 (2), 105–111.
Sia C, Tonniges TF, Osterhus E and Taba S (2004) History of the medical home concept. Pediatrics 113 (5 Supplement), 1473–1478.
Spolin V (1999) Improvisation for the Theater: A Handbook of Teaching and Directing Techniques, 3rd edn, Northwestern University Press, Evanston, IL.
Sutton RI and Hargadon A (1996) Brainstorming groups in context: effectiveness in a product design firm. Administrative Science Quarterly 41 (4), 685–718.
Tennity M (2003) What clients want in consultants. Design Management Journal 14 (3), 10–14.
van der Lugt R (2000) Developing a graphic tool for creative problem solving in design groups. Design Studies 21 (5), 505–522.
Zwarenstein M, Goldman J and Reeves S (2009) Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews Online 3 (3), CD000072. doi:10.1002/14651858.CD000072.pub2.
Acknowledgements
The authors would like to thank members of the Interdisciplinary Solutions in Health Care Group for their participation and insights, as well as Sarah Whyte and others in the Health Care, Technology and Place strategic research and training initiative at the University of Toronto for earlier comments on the problem solving and problematizing interdisciplinary framework. The exploratory workshop described in this article was funded by the Radcliffe Institute for Advanced Study at Harvard University. The funder had no role in study design, collection, analysis and interpretation of data, writing of the report, nor in the decision to submit the article for publication.
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†Ryan Bardsley, I.D., Massachusetts General Hospital/CIMIT, Simulation Systems ManagerElizabeth Bird, M.D., Hasbro Children’s Hospital/RI, Patient Safety Lead and Pediatric HospitalistBarbara Blakeney, R.N., Massachusetts General Hospital, The Center for Innovations in Care DeliveryChristopher Bull, Ph.D., Engineering, Brown University, Sr. Lecturer, Sr. EngineerJames Burgess, Ph.D., Economics, Boston University School of Public Health, Health System EconomistStephen Goetschius, M.F.A., RISD design studentDavid Kaber, Ph.D., Engineering, NCSU Professor of Industrial Engineering and ErgonomicsMichael Lye, I.D., Rhode Island, Instructor RISDMatt Maleska, I.D., Pitney Bowes, Senior Design StrategistHeather McGowan, I.D., Philadelphia University, Assistant ProvostKathleen O’Donnell, RISD design studentOlivia Rodgers, RISD design studentArun Shanbag, Ph.D., M.B.A., MGH Innovation Support CenterNathan Siegel, M.D., Rhode Island, Alpert Medical School of Brown UniversityJames E. Stahl, M.D., C.M., M.P.H., Massachusetts General Hospital, MGH Institute for Technology Assessment, Dept of Medicine,Holly O. Witteman, Ph.D., Program in Health Communication and Decision Making, Center for Bioethics and Social Sciences in Medicine, University of MichiganBrian J. Zikmund-Fisher, Ph.D., Health Behavior and Health Education and Risk Science Center, School of Public Health, University of Michigan
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Witteman, H., Stahl, J. & on behalf of Interdisciplinary Solutions in Health Care Group†. Facilitating interdisciplinary collaboration to tackle complex problems in health care: report from an exploratory workshop. Health Syst 2, 162–170 (2013). https://doi.org/10.1057/hs.2013.3
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DOI: https://doi.org/10.1057/hs.2013.3