Individual plan in rehabilitation processes: a tool for flexible collaboration?

Abstract

This article explores how different collaborative strategies between clients and service providers mediate with the quality of individual plan processes in Norway. The main question concerns how clients and service providers interact and perform their roles during their collaboration. An inter-professional group of six health and social researchers collected the data, which consisted of in-depth interviews with 13 clients and 13 service providers. Three interactional discourses emerged from the data: collaboration led by the client, collaboration led by interaction, and restrictive interaction. A complex relationship between the three interactional discourses challenges the service providers' role behaviour in practice. The service provider must accept each client as a unique individual and develop a role performance that takes into account the individual's desired level of participation. This requirement complicates the clientÁservice provider collaboration.

Current status of rehabilitation activity and the new health care reform in Norway

“…Besides the new Coordination Reform aiming to address discrepancies such as these, the individual patient's right to optimal and individualized treatment is ensconced in an individual plan which applies to all age groups (Thommesen 2004). The latter is also supposed to enhance collaboration between the patient, public services and the various health care professionals (Alve et al 2013;Slettebø et al 2012).…”

“…the lack of occupational therapists in many municipalities, which was associated with increased waiting times, as reported by 62% of the interviewed municipality-based general practitioners (Auditor-General 2012). Demand for rehabilitation, and by implication the health care professional's time, may vary depending on the severity of the patients' illnesses, and also their own participation in the rehabilitation process, which varies from patient to patient (Alve et al 2013). The latter, in turn, may also indirectly impact staff capacity due to the patient's right to participate in the planning process of their own rehabilitation, as contained in the individual plan.…”

“…In Norway, as in the rest of Scandinavia, the Ministry of Health and Care sets out policy guidelines. By contrast, the Directorate of Health sets out specific regulations which, among others, clearly stipulates the rights of the patient to receive optimal and individualized treatment and care by way of the individual plan (Thommesen 2004;Alve et al 2013;Slettebø et al 2012).…”

Individuell plan i palliativ fase – ei hjelp til meistring for pårørande

“…Palliativ omsorg krev tverrfagleg samarbeid (1,15). I ein studie om individuell plan i rehabiliteringsforløp var samhandling i planprosessen eit verktøy for fleksibelt samarbeid (17).…”

“…Samstundes er individuell plan lite brukt i palliativ fase (1,15). Det finst studiar om individuell plan (16)(17)(18)(19), men ingen tek for seg både palliasjon og pårørandeperspektivet. Fleire norske studiar omhandlar pårørande innanfor palliasjon (20)(21)(22)(23)(24)(25)(26).…”