| 1. |
- Nylinder, Pia, 1973-
(författare)
-
Perception of budgetary control : a study of differences across managers in Swedish public primary healthcare related to professional background and sex
- 2011
-
Ingår i: Journal of Nursing Management. - : Wiley-Blackwell. - 0966-0429 .- 1365-2834. ; 19:5, s. 664-672
-
Tidskriftsartikel (refereegranskat)abstract
- Background The composition of managers in Swedish public primary care centres has changed since the mid-1990s, favouring nurses and female managers. In parallel, health-care professionals have become more involved in the management structure and many have experienced an increased demand for cost containment. There is limited empirical evidence about how managers with different professional backgrounds perceive tight budgetary control.Aim To examine whether perceptions of tight budgetary control across managers in Swedish public primary care are related to personal characteristics such as professional background and sex.Method A questionnaire measuring perception of tight budgetary control was administered to all (636) identified managers in Swedish public primary care centres (response rate was 59%). Differences between groups were analysed through logistic regression and factor analysis.Results Nurses and other non-physicians perceived the budgetary control to be tighter than did physicians and female physicians perceived the budgetary control to be tighter than did male physicians.Conclusions and implications for nursing management Results suggest that nurses were more committed to the budgetary control system and county council objectives than physicians. The impact of these differences are uncertain, however, nurses’ capacity to influence primary care services may be more limited compared with physicians because of their lower professional status.
|
|
| 2. |
- Genet, Nadine, et al.
(författare)
-
Financing home care in Europe
- 2010
-
Ingår i: Journal of Clinical Nursing. - Rotterdam, the Netherlands : Wiley. - 0962-1067 .- 1365-2702. ; 19:suppl 1, s. 48-48
-
Tidskriftsartikel (refereegranskat)abstract
- Despite the assumption that care delivered at home is more cost-effective than care provided in institutions, such as nursing homes, the pressure on expenditures for home care will remain. Financial incentives are widely used to get better value for money. Incentives can be applied to authorities responsible for home care, or to agencies that provide services or to clients who receive care. Details of the financing system of home care services very much determine the possibilities for financial incentives. At present, there is a need for comparative information on financing mechanisms for home care. This presentation is based on the results of the EC-financed EURHOMAP project. Indicators have been developed in this project to map the home care systems in Europe, including details of financing. In 2009 and early 2010, EURHOMAP partners have collected data on these indicators in 31 countries in collaboration with experts in these countries. Results were described in uniformly structured country reports and fed back to national experts for validation. Prevailing models of financing for home care will be presented as well as information of the extent to which home care across Europe is pressured by financial restraints. Especially in Eastern European countries, where home care is not well developed yet, funding is a major problem. Co-payments are applicable in most countries to reduce expenditures and to prevent over-utilisation of services. Usually, financing mechanisms for social community based services differ from the mechanisms in place for home health care services. Consequently, modes of reimbursement for providers of different sorts of home care services and the financial implications for clients differ. Co-payments are more prevalent with social services than with health care. Another financial allocation mechanism is means testing, which is frequently used with publicly financed home care services. There is a large diversity in the type of financing mechanism, both between and within countries in Europe. Budgetary restraints are one of the main problems with regard to home care in almost all countries. Usually, access to home care services is restricted in some way by financial restrictions.
|
|
| 3. |
- Genet, Nadine, et al.
(författare)
-
Integrating home care services in Europe
- 2010
-
Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 19:suppl 1, s. 14-14
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction: A key feature of home care is its divided nature. Conditions for coordination are poor. A variety of professionals provides a coherent mix of services. The social care system is in general local, less professionalised and usually moor poorly financed than the health care system. These differences are related to or result in different interests, culture and style and are a ground for communication problems. The existence of this divide will be explored it will be considered what remedies are available and are applied.Methods and Materials: This presentation is drawn upon the results of the EC-financed EURHOMAP project and a discussion between country experts invited to the conference. The study has collected a wealth of data on various types of home care (including nursing care, personal care, domestic aid and respite care). In 31 countries information was gathered on a large set of indicators in the areas of policy & regulation, financing, organisation & delivery and clients & informal carers.Results: Home care services may stem from different sectors, systems and organisations. Several countries have identified and addressed problems related to this situation. However, the degree of splitting varies among countries. It can exist at one or more of the following levels: governance and regulation; entry to the home care system; delivery of services. Furthermore the extent to which the division occurs may differ as well. Integration at governance level creates more favourable conditions for integration at access and delivery level. From a clients’ perspective poor integration may manifest itself both at the point of entry (absence of a clear-cut easy access point), and in the delivery of services (which are not tailored to what is needed or lack flexibility).Conclusion: There are many possible remedies against problems of poor integration; depending on the level and the situation where the problem occurs.
|
|
| 4. |
|
|
| 5. |
|
|
| 6. |
- Lundberg, Hans, Universitetslektor, 1967-
(författare)
-
Ekonomikunskap eftersatt i svensk idrott
- 2011
-
Ingår i: Idrottsforum.org/Nordic sport science forum. - : idrottsforum.org. - 1652-7224. ; :2011-03-30
-
Recension (övrigt vetenskapligt/konstnärligt)abstract
- Review of Gil Fried, Steven J. Shapiro & Timothy D. DeSchriver, Sport Finance: Second Edition, 379 sidor, inb., ill. Champaign, IL: Human Kinetics 2008, ISBN 978-0-7360-6770-6
|
|
| 7. |
- Lundberg, Hans, Universitetslektor, 1967-
(författare)
-
Föråldrad syn på sport management
- 2011
-
Ingår i: Idrottsforum.org/Nordic sport science forum. - : idrottsforum.org. - 1652-7224. ; :2011-03-09
-
Recension (övrigt vetenskapligt/konstnärligt)abstract
- Review of Packianathan Chelladurai, Managing Organizations for Sportand Physical Activity: A Systems Perspective (Third Edition), 446 sidor, hft., ill. Scottsdale, AZ: Holcomb Hathaway 2009, ISBN 978-1-890871-93-2
|
|
| 8. |
- Lundberg, Hans, Universitetslektor, 1967-
(författare)
-
Ris och ros till arenarapport
- 2010
-
Ingår i: Idrottsforum.org/Nordic sport science forum. - : idrottsforum.org. - 1652-7224. ; :2010-03-31
-
Recension (övrigt vetenskapligt/konstnärligt)abstract
- Review of Josef Fahlén & Paul Sjöblom, Idrottens anläggningar: Ägande, driftsförhållanden och dess effekter, 97 sidor, hft. Stockholm: RiksidrottsFörbundet 2008(FOU-rapport 2008:2) ISBN 978-91-977397-5-7
|
|
