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Sökning: WFRF:(Larsson Gerry)

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1.
  • Alvinius, Aida, et al. (författare)
  • Managing Boundaries in Integrated Care : A Qualitative Study of Collaboration between Municipalities and County Councils in Sweden
  • 2016
  • Ingår i: International Journal of Organization Theory and Behavior. - Highland Beach, Florida, USA : PrAcademics Press. - 1093-4537 .- 1532-4273. ; 19:2, s. 139-165
  • Tidskriftsartikel (refereegranskat)abstract
    • Swedish healthcare has undergone continuous development over several decades. Today, legal responsibility is shared on the local and regional levels, i.e. between municipalities and county councils. The purpose of the present study is to gain a deeper understanding of boundary spanning roles and strategies involved in municipal and county council collaboration. A grounded theory approach was used. Fifteen informants from several Swedish health care authorities were interviewed. A tension exists between preserving boundary strategies that stifle collaboration and boundary spanning strategies that facilitate it. The way boundary spanners manage their role is assumed to influence the centre of gravity for this tension and thus the combination of favourable boundary spanning strategies and favourable boundary spanning roles is one way of getting the current form of collaboration to work.
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  • Larsson, Gerry, et al. (författare)
  • Analysis of the decision making process leading to appendectomy : A grounded theory study
  • 2004
  • Ingår i: Scandinavian Journal of Psychology. - : Wiley. - 0036-5564 .- 1467-9450. ; 45:5, s. 449-454
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to develop a theoretical understanding of the decision-making process leading to appendectomy. A qualitative interview study was performed in the grounded theory tradition using the constant comparative method to analyze data. The study setting was one county hospital and two local hospitals in Sweden, where 11 surgeons and 15 surgical nurses were interviewed. A model was developed which suggests that surgeons’ decision making regarding appendectomy is formed by the interplay between their medical assessment of the patient's condition and a set of contextual characteristics. The latter consist of three interacting factors: (1) organizational conditions, (2) the professional actors’ individual characteristics and interaction, and (3) the personal characteristics of the patient and his or her family or relatives. In case the outcome of medical assessment is ambiguous, the risk evaluation and final decision will be influenced by an interaction of the contextual characteristics. It was concluded that, compared to existing, rational models of decision making, the model presented identified potentially important contextual characteristics and an outline on when they come into play.
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9.
  • Larsson, Gerry, et al. (författare)
  • Changes over time in the importance patients ascribe to different aspects of care : On the need to improve person-centeredness
  • 2012
  • Ingår i: The International Journal of Person Centered Medicine. - United Kingdom : The University of Buckingham Press. - 2043-7730 .- 2043-7749. ; 2:3, s. 482-490
  • Tidskriftsartikel (refereegranskat)abstract
    • Rational and aim: Knowledge of which aspects of care are more important to patients is crucial for health providers. The aim of the work presented here was to explore changes over time in patients’ preferences in hospital and in out-patient settings.Method: Cross-sectional data were collected among patients at a number of Swedish hospital wards and out-patient clinics in 2003, 2004, 2005 and 2008 (N = 46,525). Data for men and women were analysed separately. The main outcome measure consisted of replies to the questionnaire “Quality from the Patient’s Perspective” (QPP) (numerous references).Results: (1) Subjective importance (preference) ratings increased throughout the time period studied, (2) in-patients gave higher ratings than out-patients and (3) women gave higher ratings than men, particularly in out-patient settings.Conclusion: The increase over time in ratings of the importance ascribed to different aspects of care may reflect a general trend towards strengthened consciousness among citizens as consumers of care and is an important index for improving the person-centeredness of clinical services.
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