Organizing integrated care for older persons: strategies in Sweden during the past decade

Berglund, Heléne; Blomberg, Staffan; Dunér, Anna; Kjellgren, Karin

doi:10.1108/jhom-04-2013-0082

Cited by 19 publications

(25 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the provider-choice model, however, the initial decisions about care and services were very difficult to change, once the support-provision had started. The limited possibilities for integrated working between CMs and the many different care and service providing agencies restricted opportunities to continually adapt the decisions to older people's present needs (see Berglund, Blomberg, Dun er & Kjellgren, 2015). Here, the staff described the process of changing a decision already made as cumbersome and time-consuming.…”

Section: Test and Revisementioning

confidence: 99%

Autonomy, Choice and Control for Older Users of Home Care Services: Current Developments in Swedish Eldercare

Dunér

Bjälkebring

Johansson

2018

Journal of Social Service Research

Self Cite

View full text Add to dashboard Cite

In Sweden, a policy shift towards more individualized eldercare, with an emphasis on consumer choice, has taken place. The aim of this study was to analyze the processes and practices of individualized eldercare, focusing on preconditions for older peoples' choice and control. Data consist of qualitative interviews with users of home care services (n-12) and staff (n-12) and participant observations (n-7) of meetings between staff and older people. The choice and control available to older users emerged as decisions about 'what' care and services, 'who' should provide the care and services, and 'how' the care and services should be performed. Three approaches to enable older people choice and control over their home care services were revealed: test and revise, services elaborated in close collaboration between users, care managers and home care staff; choices in the moment, users could choose services at each occasion; and quality improvement through competition, competing providers develop attractive services. The findings could guide policy makers in combining the strengths of these approaches to enable older people in need of support to become co-producers in designing, managing, as well as consuming, care and services. Future quantitative research is needed to achieve generalizable knowledge about the strengths and weaknesses of different ways to organize eldercare services.

show abstract

Section: Test and Revisementioning

confidence: 99%

Autonomy, Choice and Control for Older Users of Home Care Services: Current Developments in Swedish Eldercare

Dunér

Bjälkebring

Johansson

2018

Journal of Social Service Research

Self Cite

View full text Add to dashboard Cite

show abstract

“…Sweden has used a range of initiatives at a local management level, as well as various legislative acts, to provide continuity of care through enhanced collaboration between hospitals, primary care, and municipalities [20], and to strengthen the patient’s position as an equal partner in own care [21]. Shorter hospital stays and increased demands on patients to be active in own care are discussed as results of an overburdened healthcare system [22], but also as an opportunity for patients to develop competence and shape their daily lives [23].…”

Section: Introductionmentioning

confidence: 99%

The Information Flow in a Healthcare Organisation with Integrated Units

Kneck

Flink

Frykholm

et al. 2019

International Journal of Integrated Care

View full text Add to dashboard Cite

Introduction:Integrated care is believed to provide support to patients with multiple long-term and complex conditions. Transparency in information delivery is key for shared decision-making, and co-production of care. This study aimed to explore information pathways within an integrated healthcare and social care organisation and describe how information continuity was delivered for an older patient with complex care needs.Methods:An explorative single-case study conducted in a Swedish healthcare organization where municipality and the county council have integrated their services. One focus group discussion and six individual interviews were conducted.Results:Information flow to partners in care was obstructed, with compensatory double documentation, complementary information channels, and information loss. A heavy burden was on the patient and relatives to keep track of and communicate information between different caregivers. Patients were expected to be active partners in their own care, but were largely excluded from the information flow.Discussion:Even integration of care organisations does not imply that integrated care is delivered at the sharp end of practice. An integrated electronic health record is needed to improve accessibility of care information from within all the organisations, facilitating handovers between professionals and levels of care, and involving patients in the information flow.

show abstract

“…13 In addition, policy makers support integrated healthcare as a means to improve healthcare, including cooperation between healthcare organizations. 3,6,14 However, politicians also promote contrary strategies such as financial incentives that imply the fragmentation of health services and mistrust in collaborative advantages. 14 Patients with complex multimorbidity and long-term conditions need healthcare organizations in which professionals work collaboratively to set person-centred goals within care plans that are reviewed on a regular basis.…”

Section: Introductionmentioning

confidence: 99%

Person-centred care: A qualitative study on first line managers’ experiences on its implementation

Rosengren

2016

Health Serv Manage Res

View full text Add to dashboard Cite

Person-centred care is an up-and-coming care model for reducing fragmentation in healthcare by using the core component partnership between patients and care providers. Therefore, it is important to develop knowledge of the implementation processes. The overall aim of this qualitative study was to describe managers' experiences of the implementation of person-centred care. This paper provides an example of how person-centred care was implemented in the medical department of a hospital in the western part of Sweden. The study comprised eight interviews with firstline managers, and the data were analysed using qualitative content analysis. The results formed three categories, structured approach -to be organized; care planning -to be continued and teamwork -to be together, that describe the implementation of person-centred care from philosophy to practice application. Managerial skills of first-line managers are key components to developing a structured approach that improves and develops person-centred care, i.e. work together towards the mutual care plan. Continuous cooperation within and across organizational boundaries is needed (synergy effect) to decrease high working load when person-centred care is implemented to improve quality of care.

show abstract

Organizing integrated care for older persons: strategies in Sweden during the past decade

Cited by 19 publications

References 29 publications

Autonomy, Choice and Control for Older Users of Home Care Services: Current Developments in Swedish Eldercare

Autonomy, Choice and Control for Older Users of Home Care Services: Current Developments in Swedish Eldercare

The Information Flow in a Healthcare Organisation with Integrated Units

Person-centred care: A qualitative study on first line managers’ experiences on its implementation

Contact Info

Product

Resources

About