Velferdstjenestenes vilkår

Anvik, Cecilie Høj; Moen, Hilde Berit; Breimo, Janne Paulsen

doi:10.18261/9788215034713-2020-2

Cited by 6 publications

(10 citation statements)

References 3 publications

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“…As the funding of health and welfare services has increased in recent decades (Norwegian Ministry of Finance, 2021), it is unlikely that the finding is due to decreased access to and the quality of professional help. A more likely explanation is the change in the public discourse, which shows that expectations on health and welfare services have increased (Anvik et al, 2020). Psychosocial crisis teams did not exist 35 years ago (Dyregrov & Dyregrov, 2008), whereas they are now the norm in Norwegian municipalities.…”

Section: Professional Help Is Unequally Distributedmentioning

confidence: 99%

Needs for help and received help for those bereaved by a drug-related death: a cross-sectional study

Kalsås

Titlestad

Dyregrov

2023

Nordic Studies on Alcohol and Drugs

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Background and aims: Individuals bereaved after sudden and unexpected deaths can benefit from professional help to cope after the loss, and the bereaved call for proactive, early and flexible help from professional services. Most drug-related deaths (DRDs) happen suddenly and unexpectedly. DRDs are a significant public health issue, yet few studies have examined DRD-bereaved people’s needs and experiences with professional help. This article investigates the needs for help and received help reported by DRD-bereaved family members and friends, and suggests improvements in services based on the findings. Data and method: A heterogeneous convenience sample of DRD-bereaved family members and close friends (n = 255) were recruited for a survey from February to December 2018. Descriptive analyses were conducted for experiences with professional help, chi-square analyses to find predictors for help needs and received help, and logistic regression analysis to find predictors for satisfaction with the help provided. Results: Most DRD-bereaved individuals reported a need for professional help after the death regardless of family relation to the deceased, and about half of the participants received help. Nearly half of them were satisfied with the help. Our results indicated higher satisfaction with help among older bereaved, and the participants who received help from a crisis team or psychotherapist. The latter was particularly stated for younger participants. Few participants with children in the family reported that the children had received help, and less than one-third were satisfied with this help. Conclusion: The study shows that younger age groups and children need particular recognition, and a family perspective from services is essential. When assessing the help needs of the DRD-bereaved, relations of both psychological and biological closeness should be recognised. Help efforts should be tailored according to established knowledge of the provided help that bereaved populations deem effective.

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Section: Professional Help Is Unequally Distributedmentioning

confidence: 99%

Needs for help and received help for those bereaved by a drug-related death: a cross-sectional study

Kalsås

Titlestad

Dyregrov

2023

Nordic Studies on Alcohol and Drugs

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“…This extended welfare model results in a high degree of social spending and low levels of poverty (Halvorsen et al, 2015). The Norwegian welfare policy is characterised by being service intensive (Anvik et al, 2020; Esping-Andersen, 1990), where responsibility for implementing welfare policy is decentralised down on the local, municipality level (Sandvin et al, 2020; Vike et al, 2016).…”

Section: Coordination Of Services For Disabled Children In Norwaymentioning

confidence: 99%

‘It's not really Michael who wears me out, it's the system’: The hidden work of coordinating care for a disabled child

Østerud,

Anvik

2023

Critical Social Policy

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The parents, especially mothers, of disabled children play a crucial role in coordinating care for their children. This article investigates families’ coordination work using qualitative accounts of the parents of disabled children in Norway. The theoretical concepts of the third shift, hidden work and a broad definition of care are applied. We present a typology of coordination work, consisting of writing, meetings, administration of services, learning, monitoring and emotional work. We describe three cases to show the nature and consequences of having to coordinate the everyday lives of disabled children. The findings show that coordination work is gendered, individualised and taken for granted in service provision. We argue that coordination work should be better recognised in social policy design for these families to provide adequate services and avoid reproducing social inequality.

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“…Consequently, there has been an increased focus on using care resources effectively and efficiently to improve the likelihood of desired health outcomes [3]. However, this focus has resulted in a range of challenges in long-term care service allocation, such as failure to meet citizens' actual needs [4,5], expanding budgets, rationing of care services, poorer quality of services and higher thresholds in service allocation [6]. To meet these challenges, priority setting and more effective care strategies, such as reorganisation of services and more efficient resource utilisation, have been foci of health and care services reforms in recent decades [6].…”

Section: Introductionmentioning

confidence: 99%

“…However, this focus has resulted in a range of challenges in long-term care service allocation, such as failure to meet citizens' actual needs [4,5], expanding budgets, rationing of care services, poorer quality of services and higher thresholds in service allocation [6]. To meet these challenges, priority setting and more effective care strategies, such as reorganisation of services and more efficient resource utilisation, have been foci of health and care services reforms in recent decades [6]. The aim of this study is to explore how national principles for priority setting are expressed in long-term care service allocation to older adults.…”

Section: Introductionmentioning

confidence: 99%

“…Universalism is a central feature of the Norwegian welfare model and gives all citizens the right to receive health and care services adapted to their needs. This means that municipalities are obliged to provide long-term care services that cover citizens' needs for longer or shorter periods in situations that may threaten their welfare [6]. An increasing number of municipalities have in recent years adopted a purchaser-provider model for long-term care service allocation where those who decide on the scope of services given (allocators) are separate from those providing the services (providers).…”

Section: Introductionmentioning

confidence: 99%

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Needs assessment in long-term care: expression of national principles for priority setting in service allocation

Pedersen,

Skinner,

Sogstad

2024

BMC Health Serv Res

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Background Long-term care services for older adults are characterised by increasing needs and scarce resources. Political strategies have led to the reorganisation of long-term care services, with an increased focus on “ageing in place” and efficient use of resources. There is currently limited research on the processes by which resource allocation decisions are made by service allocators of long-term care services for older adults. The aim of this study is to explore how three political principles for priority setting in long-term care, resource, severity and benefit, are expressed in service allocation to older adults. Methods This qualitative study uses data from semi-structured individual interviews, focus groups and observations of service allocators who assess needs and assign long-term care services to older adults in Norway. The data were supplemented with individual decision letters from the allocation office, granting or denying long-term care services. The data were analysed using reflexive thematic analysis. Results The allocators drew on all three principles for priority setting when assessing older adults’ long-term care needs and allocating services. We found that the three principles pushed in different directions in the allocation process. We identified six themes related to service allocators’ expression of the principles: (1) lowest effective level of care as a criterion for service allocation (resource), (2) blanket allocation of low-cost care services (resource), (3) severity of medical and rehabilitation needs (severity), (4) severity of care needs (severity), (5) benefit of generous service allocation (benefit) and (6) benefit of avoiding services (benefit). Conclusions The expressions of the three political principles for priority setting in long-term care allocation are in accordance with broader political trends and discourses regarding “ageing in place”, active ageing, an investment ideology, and prioritising those who are “worse off”. Increasing attention to the rehabilitation potential of older adults and expectations that they will take care of themselves increase the risk of not meeting frail older adults’ care needs. Additionally, difficulties in defining the severity of older adults’ complex needs lead to debates regarding “worse off” versus potentiality in future long-term care services allocation. Trial registration Not applicable.

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Velferdstjenestenes vilkår

Cited by 6 publications

References 3 publications

Needs for help and received help for those bereaved by a drug-related death: a cross-sectional study

Needs for help and received help for those bereaved by a drug-related death: a cross-sectional study

‘It's not really Michael who wears me out, it's the system’: The hidden work of coordinating care for a disabled child

Needs assessment in long-term care: expression of national principles for priority setting in service allocation

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