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Corporate Culture Assessments in Integrative Oncology: A Qualitative Case Study of Two Integrative Oncology Centers

机译:整合肿瘤学中的企业文化评估:两个整合肿瘤学中心的定性案例研究

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摘要

The offer of “integrative oncology” is one option for clinics to provide safe and evidence-based complementary medicine treatments to cancer patients. As known from merger theories, corporate culture and integration models have a strong influence on the success of such integration. To identify relevant corporate culture aspects that might influence the success in two highly visible integrative oncology clinics, we interviewed physicians, nurses, practitioners, and managers. All interviews (11 in a German breast cancer clinic and 9 in an integrative medicine cancer service in the USA) were audio-recorded, transcribed and analyzed with content analysis. According to the theoretical framework of mergers, each clinic selected a different integration type (“best of both worlds” and “linking”). Nonetheless, each developed a similar corporate culture that has a strong focus on research and safe and evidence-based treatments, and fosters a holistic and patient-centered approach. Structured communication within the team and with other departments had high relevance. Research was highlighted as a way to open doors and to facilitate a more general acceptance within the hospital. Conventional physicians felt unburdened by the provision of integrative medicine service but also saw problems in the time required for scheduled treatments, which often resulted in long waiting lists.
机译:“整合肿瘤学”的提供是诊所为癌症患者提供安全且基于证据的补充医学治疗的一种选择。从合并理论可以看出,企业文化和整合模型对这种整合的成功有很大的影响。为了确定可能影响两家知名的综合肿瘤诊所成功的相关企业文化方面,我们采访了医生,护士,从业人员和管理人员。所有采访(在德国一家乳腺癌诊所接受11次,在美国综合医学癌症服务接受9次)均经过录音,转录和内容分析。根据合并的理论框架,每个诊所选择不同的整合类型(“两全其美”和“联系”)。尽管如此,每个人都建立了相似的企业文化,特别注重研究以及安全和基于证据的治疗,并倡导以患者为中心的整体方法。团队内部以及与其他部门的结构化沟通具有高度相关性。研究被强调为打开大门并促进医院内部更广泛接受的一种方式。传统医生对提供中西医结合感到轻松,但也发现计划治疗所需的时间存在问题,这通常导致等候时间长。

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