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- Nordgren, Lars, et al.
(författare)
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Healthcare Matching - A Value Creating Service
- 2016
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Konferensbidrag (refereegranskat)abstract
- Background: Long waiting times have been a significant problem in theSwedish health care system. A lack of matching of pathways of care has ledto long waiting times for patients, increasing medical risk and contributingtowards less effective capacity utilisation. There are different pathways into theelective healthcare system in Sweden, some via referral from a physician andothers via referral written by the patient. Other ways are through the districthealth authority or the emergency ward. As patients move from one providerto another, the complexity of matching patients and their records acrosshealthcare organisations increases.Study Question: To discuss the need, and barriers, for healthcare matching inthe Swedish healthcare.Methods: The research was inspired by engaged scholarship a participativeform of research for obtaining different perspectives of key stakeholders inthe study of complex problems.’ (Van de Ven 2007). There was collaborationbetween the medical practice and academia interacting with practitioners inthe Skåne and Halland regions. The study draws on the concepts of matching,cooperation and coordination. A detailed reading of patient statements fromSwedish healthcare studies was performed. Analysis of the experiences of Skåneregion patient coordination was also performed.Results: Coordination of patients took place across different boundaries inhealthcare. Patient statements expressed a need for matching.Conclusions: There seems to be a need for healthcare matching. Thecoordination of patients and referrals could be improved by better matchingpatients to appropriate physicians.Health Policy Implications: Healthcare matching affects organisational andtechnical systems and professional identity. In order to succeed in the notion ofequal accessibility to care, there must be an understanding of mutual needs bythe parties involved.
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- Nordgren, Lars, et al.
(författare)
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Value Creation of Healthcare Services- Developing a Healthcare Matching Model
- 2020
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Ingår i: International Journal of Business and Social Science. - New York, NY : Center for Promoting Ideas. - 2219-1933 .- 2219-6021. ; 11:8, s. 35-46
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Tidskriftsartikel (refereegranskat)abstract
- Healthcare in Sweden is dealing with problems regarding accessibility for patients. Moreover, there is a lack of an overall model concerning matching specialist care to patients. Against this background, the purpose was to develop a preliminary healthcare matching model and discuss the barriers of this model. Theoretically, the study draws on the concepts of matching and coordination completed with value co-creation. Inspired by action research there was collaboration between the researchers and practitioners in the Skåne Region in Sweden between 2013 and 2016 (case one). Studies of policy documents, several meetings with strategists and analysis of a coordination meeting served as a basis for gathering empirical data concerning the process of coordinating patients and capacity. A completing study concerned analysis of the coordination of care guarantee service to the patients in the Halland Region (case two). Based on a theoretical analysis and analysis of two cases (in two regions) in Sweden it seems that an advanced matching, based on co-creation between patients, referrers and providers, is required in order to balance specialist care capacity to the needs of the patients smoothly. Both patients and providers could benefit from the use of matching healthcare. However, there are several barriers against healthcare matching: the Swedish legislation that includes minor incentives to cooperate between regions, the different cultures in the regions, and the strong professional identity in healthcare.In order to succeed in the notion of healthcare matching, there have to be active cooperation by the stakeholders involved. This article is original in the development of a preliminary model of healthcare matching concerning specialist care.
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- Wingner Leifland, Catharina, et al.
(författare)
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Improving healthcare access and availability with matching of care
- 2023
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Ingår i: Management in Healthcare. - London : Henry Stewart Publications. - 2397-1053 .- 2397-1061. ; 7:4, s. 339-356
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to contribute to the development of a model including parameters for matching health-care services to patients. Inspired by ‘engaged scholarship’, the researchers practised continuous and close collaboration with practitioners at Region Skåne in Sweden. The agenda was based on questions and experiences that evolved from theory and experience gained during previous research, while the practitioners’ agenda was based on problems and solutions arising within the organisation. As a result, mutual interpretations and concept creation were created and thus also the exchange of knowledge, information and competence between researchers and practitioners. The thoughts concerning the parameters included in a matching model emerged during meetings. The supportive data was conceptualised, converted and incorporated into an array of parameters illustrating coordination and matching in healthcare. T he healthcare matching concept, meaning a specified form of coordination, was applied as the main concept in the study. One contribution regarded how the coordination of health-care services occurs in Region Skane. An additional contribution was a discussion about which parameters are essential to include in the development of a matching model. Finally, there was a consideration concerning what kind of social values the matching model created. A fruitful way of implementing a matching model in healthcare is making use of a pilot project at a smaller organisation in a Swedish region.
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