| 61. |
- Winge, Monica, et al.
(författare)
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Exploringthe concept of patient-centred collaboration in health care : a study of homecare in two Swedish cities
- 2005
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Konferensbidrag (refereegranskat)abstract
- The quality of medical services is decreasing in several countries. In Sweden reductions have been made in the allocation of resources to medical services, with the result that the pressure on those people working in this sector increases, which in turn leads to stress and burn-out in medical staff. Alongside the demands for savings and greater efficiency in home care, the number of people in need of care in their home environment increases - a fact which puts even more pressure on the people working in this sector. Treating patients in their home is a good solution for all parties involved around a patient, and many patients, especially patients within palliative care and patients suffering from multiple illness, prefer being treated at home instead of being hospitalised. Treatment in an environment in which they feel more comfortable can make the patient feel more relaxed and secure - a state of mind that is considered important in order to advance recovery. To facilitate collaboration between different caring units there is a great need to have access to the right information at the right time. The home care team's work demands a way to access and update information while mobile. The solution will have to be adaptive to the mobile character of the home care teams’ work, i.e. the amount of information as well as the type of information communicated and distributed has to be adjustable to the bandwidth and presentation means available at the team’s current position. Today, at least here in Sweden, most units/organisations and different professions within a unit have their own system to store information. These systems are not compatible because of different definitions of concepts, among other reasons. A result of this is that it is not possible to exchange information between different units and/or professions. One important aspect of the collaboration between different units/organisations and professionals, especially within home care, is the understanding of how the collaboration is to be conducted between the different parties. This paper describes the result of a pilot study conducted at two different locations in Sweden. The aim of the study was to investigate the concept of collaboration in home care and get some suggestions about improving the weak links of collaboration. The respondents were chosen from three categories of people; patients/relatives, nursing staff, and management. The focus is on the collaboration conducted between these different people involved in the Proceedings of the 10thInternational Symposium on Health Information Management Research – iSHIMR 2005 2 care situation as well as their view of how collaboration could and should be handled. The results from the pilot study show that several collaboration problems exist, both between the different care giving organisations/groups as well as within groups.
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| 62. |
- Winge, Monica, et al.
(författare)
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Interorganisational Collaboration in Home Care : A First Discussion of Requirements
- 2007
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Ingår i: Proceedings of the 12th International Symposium on Health Information Management Research (ISHIMR 2007, Sheffield, UK). - Sheffield : University of Sheffield. - 0903522403 ; , s. 43-50
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Konferensbidrag (refereegranskat)abstract
- In this paper we discuss the fact that more and more patients are treated in their homes instead of in a hospital, and by a whole set of organizations, sometimes with different ownership, and how this fact places new and heavy demands on health care and home service staff to communicate and to collaborate. We further discuss the need for communication and collaboration on both managerial and operational levels. In particular we point to the need for managers in different organizations to agree on ways of communicating and collaborating on the operational level and how this aspect has to be taken into account already during procurement of home care services. We finally give a brief account of IT support for collaboration and coordination that may help to improving the situation.
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| 63. |
- Winge, Monica, et al.
(författare)
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Need for a New Care Model - Getting to Grips with Collaborative Home Care
- 2010
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Ingår i: MEDINFO 2010. - : IOS Press. - 9781607505877 - 9781607505884 ; 160:Pt 1, s. 8-12
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Konferensbidrag (refereegranskat)abstract
- In this paper we discuss the fact that more and more patients are treated in their homes by a set of organizations, sometimes with different ownership, and how this fact places new and severe demands on health care and home service staff to communicate and collaborate. We point to the need for managers in different organizations to agree on ways of communicating and collaborating on the operational level and how this aspect needs to be considered during procurement of home care services. Most importantly, by reasoning around a set of problematic areas, we derive a set of related problems and suggest solutions for dealing with them. The solutions are a mix of organizational/administrative measures and IT support for communication and coordination.
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| 64. |
- Winge, Monica, et al.
(författare)
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Scenario for a patient at home in health and social care
- 2014
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Ingår i: Journal of Healthcare Leadership. - 1179-3201. ; :6, s. 51-66
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Tidskriftsartikel (refereegranskat)abstract
- This paper describes and discusses the situation for a typical patient with multiple illnesses and how his case would benefit from improved coordination, communication, and collaboration among all involved care providers. The paper is built around a patient case presented in a current scenario. The authors identified that for a single patient with several problems and diagnoses and the involvement of several care actors, the common issues concern lack of collaboration, lack of coordination, and awareness of what others have done to assess, plan, perform, and evaluate care. This presumably leads to a lack of care quality and a lack of effective use of care resources. The scenario and the findings are based on a patient-oriented perspective, on an analysis expressed in focus groups, and on interviews with key actors in health and social care. The paper also discusses the fact that an increasing number of patients are treated in their homes by a variety of organizations, and how this fact raises new and more intense demands on the various stakeholders forming the care staff to collaborate and coordinate care. We point to the need for managers in and between organizations to agree on the ways of collaborating at the operational level. Most importantly, by taking a basic set of issues as the starting point for reasoning, we derived a set of related problems and suggest solutions to deal with these. The literature currently lacks scenario descriptions that put the patient's situation into focus with respect to collaboration between health and social care. Finally, the paper presents a future case for collaboration including support by new e-services.
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