Integration as a tool for interprofessional work: A synthesis of the literature regarding how to use integrative strategies to address complex public health problems

Amanda Trofholz, Amy Shanafelt, Margaret Adamek, Katherine Grannon, Katie Loth, Caitlin Caspi, Jerica M. Berge

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: There has been limited success addressing complex public health problems using “siloed” approaches. A next important step in addressing persistent public health problems is adopting an “integrative” approach—intentional collaboration across the domains of research, clinical practice, community, and policy. This synthesis of the literature aggregates and synthesizes the diffuse and multi-disciplinary integration literature base to describe key concepts, aspects of praxis, and challenges and successes to help guide interprofessional practice. Methods: A three-step approach was used: 1) a wide-ranging search for articles on integration theory/praxis; 2) a more focused search in the health literature bases; 3) a snowball strategy to identify additional studies. Discussion/conclusions: Themes identified included 1) elements of successful integration; 2) characteristics of an effective integrator; and 3) dynamics between stakeholders in integration praxis. Results of this synthesis of the integration literature provide a deeper understanding of integration and points to clear and exciting next steps for integration praxis and inquiry.

Original languageEnglish (US)
Article number100383
JournalJournal of Interprofessional Education and Practice
Volume21
DOIs
StatePublished - Dec 2020

Bibliographical note

Funding Information:
Financial support for this manuscript was provided by the Department of Family Medicine and Community Health at the University of Minnesota, Minneapolis, MN . The funding source had no involvement in the study design, writing of the report, or decision to submit the article for publication.

Publisher Copyright:
© 2020 Elsevier Inc.

Keywords

  • Challenges of integrative work
  • Integration
  • Integrative science
  • Public health approach
  • Synthesis of literature

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