Integrated care in Norway: State of affairs years after regulation by law

Bjerkan, Jorunn; Richter, Marie; Grimsmo, Anders; Hellesø, Ragnhild; Brender, Jytte

doi:10.5334/ijic.530

Cited by 33 publications

(36 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 2002, the central Norwegian government took ownership of all public hospitals, creating a highly centralized health care system [53,54]. In 2001, Norway introduced the right of every patient to have an Individual Care Plan, which names a person who coordinates that patient's care across the health care system [55,56]. The focal point in this policy remains strongly with the patient.…”

Section: Individual Patient Level Integration: the Example Of Norwaymentioning

confidence: 99%

“…For one, since there is less structural collaboration between professionals and institutions, it runs the risk of becoming highly dependent on the ability and willingness of case managers to create such a plan. Research from 2011 suggests that only about 17% of eligible patients actually had an individual plan [55], while other research has even questioned the effectiveness of case managers [57]. The Norwegian government has positively evaluated its policies and will thus maintain its course.…”

Section: Individual Patient Level Integration: the Example Of Norwaymentioning

confidence: 99%

See 1 more Smart Citation

Challenges in turning a great idea into great health policy: the case of integrated care

Raus

Mortier

Eeckloo

2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: In the organization of health care and health care systems, there is an increasing trend towards integrated care. Policy-makers from different countries are creating policies intended to promote cooperation and collaboration between health care providers, while facilitating the integration of different health care services. Hopes are high, as such collaboration and integration of care are believed to save resources and improve quality. However, policy-makers are likely to encounter various challenges and limitations when attempting to turn these great ideas into effective policies. In this paper, we look into these challenges. Main body: We argue that the organization of health care and integrated care is of public concern, and should thus be of crucial interest to policy-makers. We highlight three challenges or limitations likely to be encountered by policy-makers in integrated care. These are: (1) conceptual challenges; (2) empirical/methodological challenges; and (3) resource challenges. We will argue that it is still unclear what integrated care means and how we should measure it. 'Integrated care' is a single label that can refer to a great number of different processes. It can describe the integration of care for individual patients, the integration of services aimed at particular patient groups or particular conditions, or it can refer to institution-wide collaborations between different health care providers. We subsequently argue that health reform inevitably possesses a political context that should be taken into account. We also show how evidence supporting integrated care may not guarantee success in every context. Finally, we will discuss how promoting collaboration and integration might actually demand more resources. In the final section, we look at three different paradigmatic examples of integrated care policy: Norway, the UK's NHS, and Belgium. Conclusions: There seems widespread agreement that collaboration and integration are the way forward for health care and health care systems. Nevertheless, we argue that policy-makers should remain careful; they should carefully consider what they hope to achieve, the amount of resources they are willing to invest, and how they will evaluate the success of their policy.

show abstract

Section: Individual Patient Level Integration: the Example Of Norwaymentioning

confidence: 99%

Section: Individual Patient Level Integration: the Example Of Norwaymentioning

confidence: 99%

Challenges in turning a great idea into great health policy: the case of integrated care

Raus

Mortier

Eeckloo

2020

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…5,6 Denmark The first time the need for collaboration was commented on in Denmark was in the report by the Coordinating Committee for the National Health Service. 7 The Public Health Insurance Act 8 stipulated that the then county councils and municipalities had to jointly plan their treatment efforts.…”

Section: Norwaymentioning

confidence: 99%

“…The fact that organizational and cultural obstacles are thus able to endure may be one reason for the relatively modest effect of individual plans in practice. 5 Despite the treatment plan, with its patient-related goals and in many cases a coordinator appointed for the treatment, these endeavours are deemed insufficiently powerful to counteract the negative effects of the fragmented range of healthcare services. 6 According to the presented theory, there is no inter-organizational integration, and thus neither are there any opportunities for collaborative synergy.…”

Section: Norwaymentioning

confidence: 99%

The path to integrated healthcare: Various Scandinavian strategies

Åhgren

2014

International Journal of Care Coordination

View full text Add to dashboard Cite

“…Studies have shown that the plan improves self‐management, increases patient centredness and reduces unnecessary care use (Burt et al., ; Newbould et al., ). However, several studies (Bjerkan, Richter, Grimsmo, Helles, & Brender, ; Burt et al., ; Jansen et al., ; Newbould et al., ; Reeves et al., ) have shown that the implementation of care planning at primary healthcare clinics is meagre.…”

Section: Introductionmentioning

confidence: 99%

The care‐planning conference: Exploring aspects of person‐centred interactions

et al. 2018

View full text Add to dashboard Cite

AimThe aim of this study was to describe the care‐planning conference from the participants' and researchers' perspectives, focusing on exploring aspects of person‐centred interactions.DesignA single‐instrumental, qualitative case study design was used describing a care‐planning conference taking place in the home of an older woman and her daughter.MethodsData collection consisted of observation and digital recording of the care‐planning conference and individual interviews with all the participants before and after the conference. Data were analysed in several phases: first, a narrative description followed by a general description and, thereafter, qualitative content analysis.ResultsThe findings revealed that the care‐planning conference conducted had no clear purpose and did not fulfil all parts of the planning process. Three themes emerged related to aspects of person‐centred interactions. The theme “expectations meet reality” showed different expectations, and participants could not really connect during the conference. The theme “navigate without a map” revealed health professionals' lack of knowledge about the care‐planning process. The theme “lose the forest for the trees” described that the conference was conducted only as part of the health professionals' duties. Management and healthcare professionals cannot automatically assume that they are delivering person‐centred care. Healthcare professionals need to be sensitive to the context, use the knowledge and tools available and continuously evaluate and reassess the work carried out.

show abstract

Integrated care in Norway: State of affairs years after regulation by law

Cited by 33 publications

References 16 publications

Challenges in turning a great idea into great health policy: the case of integrated care

Challenges in turning a great idea into great health policy: the case of integrated care

The path to integrated healthcare: Various Scandinavian strategies

The care‐planning conference: Exploring aspects of person‐centred interactions

Contact Info

Product

Resources

About