In Europe, a well-known problem is the coordination of interagency service delivery to independently living older persons, disabled persons or persons suffering from chronic illness. Coordination is necessary in order for the users to receive services at the appropriate time and place. Based on historical institutionalism, which focuses on the path dependency of the development of government policy and organizational and professional rules, it can be stated that coordination requires organizational models or other solutions that fit the characteristics of the (...) context (‘configuration’) for which the solution is intended. The western European countries have different configurations. Remarkably, across these countries, we see the emergence of multidisciplinary teams as a solution to the problem of coordination. Consequently, if we take the above statement to mean that a solution should fit all the configuration’s characteristics, we must reject the statement. However, when we assume that a solution should fit particular configurational characteristics, we must not. We take the second position and we argue that multidisciplinary teams have emerged because they fit one particular feature that is similar in the countries: professionalism and professional fragmentation. (shrink)

Internal mechanisms that uphold the reliability of published scientific results have failed across many sciences, including some that are major sources of science news. Traditional methods for reporting science in the mass media do not effectively compensate for this unreliability. I argue for a new conceptual framework in which science journalists and scientists form a complex knowledge community, with science news as the interdisciplinary product. This approach motivates forms of collaboration and training that can improve the epistemic reliability of science (...) news. (shrink)

The advent of integration as a feature of contemporary medical curricula can be seen as an advantage for the medical humanities in that it provides a clear implementation strategy for the inclusion of medical humanities content and/or perspectives, while also making its relevance to medical education more apparent. This paper discusses an example of integration of humanities content into a graduate medical course, raises questions about the desirability of an exclusively integrated approach, and argues for the value of retaining a (...) discrete and coherent disciplinary presence for the medical humanities in medical curricula. (shrink)

Many degree programs in science and engineering aim at enabling their students to perform interdisciplinary problem solving. In this paper we present three types of expertise that are involved in different ways in interdisciplinary problem solving. In doing so we shall first characterise two important epistemological challenges commonly faced in interdisciplinary problem solving, namely the communication challenge that arises from the use of different concepts within different scientific domains, and the integration challenge that arises from the differences between domain-specific epistemological (...) standards. Next, drawing on recent work on expertise developed within science studies, we characterize the interactional expertise that is a precondition for scientists to communicate across scientific domains, and the integrational expertise that is a precondition for scientists to be able to integrate cognitive resources originating in different domains. Finally, we shall analyse how different types of interdisciplinary problem solving sets different requirements for interactional and integrational expertise and discuss the implications for science and engineering programs in higher education. (shrink)