Collaboration Across Disciplines in a Private Practice Healthcare Setting

Naomi Rather

    Research output: ThesisDoctoral Thesis

    256 Downloads (Pure)


    In countries with multiple options for healthcare, it is common for people to seek the services of more than one healthcare provider.
    Those services are likely to be provided outside of a hospital setting, where there are fewer opportunities for collaboration.
    Patients may seek additional help in the form of herbs, tinctures, vitamins and other non-prescribed medicines, which can impact the safety or efficacy of prescribed medicines.
    These patients are often quite vulnerable, perhaps suffering from:
    Chronic pain that’s difficult to treat.
    Childhood maltreatment/abuse/neglect.
    Loneliness, lack of support.
    Emotional or physical disabilities.
    Healthcare providers in private practice are paid only for the time they see patients---not for collaborating.
    They may have few or short interactions with patients.
    They are often isolated from practitioners of different disciplines.
    They may have limited experience with collaboration across disciplines.
    A new idea about how providers could talk about cases was introduced to a group of 22 healthcare practitioners who shared office space.
    A small subgroup of practitioners chose to meet monthly for the next 18 months.
    The participants developed a connection that allowed them to both support and challenge each other.
    New ideas about healthcare emerged in the process, benefitting patients and providers.
    Collaboration across disciplines seemed to be linked to valuing multiple perspectives, outside one’s own discipline.
    An ability to engage in dialogue that is open and curious and mutually respectful, without any pre-conceived agendas.
    A relational connection between collaborators that reflects the above, and provides sufficient safety to generate new ideas.
    Suggestions for others who wish to collaborate across disciplines in healthcare include patients requesting that their various healthcare providers engage in collaborative dialogue about their care.
    Professional organizations can recommend collaboration across disciplines as part of guidelines for ethical care.
    Medical and Allied Healthcare training programs can instill and foster these values during training, through Interprofessional Education.
    Technology can be utilized to foster collaboration across disciplines, through shared medical records or notes.
    Original languageEnglish
    QualificationDoctor of Philosophy
    Awarding Institution
    • Tilburg University
    • McNamee, Sheila, Promotor
    • Anderson, H., Co-promotor, External person
    • van Dijk, Gerda, Member PhD commission
    • Rijsman, John, Member PhD commission
    • Wilderom, C.P.M., Member PhD commission
    • Todorova, E.T., Member PhD commission, External person
    • Oestereich, C., Member PhD commission, External person
    Award date27 Jun 2017
    Place of PublicationS.l.
    Publication statusPublished - 2017


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