Cooperation capacity and quality in ageing: A longitudinal study of integrated care

• During the last decade, a significant reduction in most of Sweden’s regions' and cooperating municipalities' quality of integrated care services for older persons has occurred, indicated by increasing proportions of unplanned hospital readmissions. Cooperation scope, size and time, may however, constitute important keys for the significant challenge of making integrated care equal and autonomous enough to generate the local-regional capacity needed to implement quality characterized by lower readmission rates. The purpose is to study the continuity and cooperation between health and care providers, which sustain and improve quality of integrated care services for older people, using readmission rates as a quality indicator. The research question is: How is capacity to cooperate related to quality of integrated care: when, where, how, and why does it succeed? We rely on The Swedish National Board of Health and Welfare's data on the proportion of unplanned hospital readmissions within 30 days among older persons living with multi-morbidity 2010-11 and 2018-19 in all 290 municipalities and 21 regions of Sweden, enabling search for systematic patterns of explanation across 60 cases of cooperation between health and care providers in coordination bodies previously surveyed on cooperation capacity in 17 of the 21 Swedish regions for the 2010-14 and 2014-18 terms of office. The aim is to make cooperation work again, after the 2019 decline in quality and after the pandemic.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

SAMHÄLLSVETENSKAP  -- Statsvetenskap -- Studier av offentlig förvaltning (hsv//swe)

SOCIAL SCIENCES  -- Political Science -- Public Administration Studies (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)

SAMHÄLLSVETENSKAP  -- Sociologi -- Socialt arbete (hsv//swe)

SOCIAL SCIENCES  -- Sociology -- Social Work (hsv//eng)

Nyckelord

Cooperation capacity

ageing quality

readmission rates

coordination bodies

average regional size

scope

time

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