| 1. |
- Hellberg, Ann-Sofie, 1977-, et al.
(författare)
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Conflicts in implementing interoperability : re-operationalizing basic values
- 2013
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Ingår i: Government Information Quarterly. - : Elsevier BV. - 0740-624X .- 1872-9517. ; 30:2, s. 154-162
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Tidskriftsartikel (refereegranskat)abstract
- Interoperability is a top priority today as governments try to integrate services across departments so as to improve effectiveness as well as efficiency. Integration in government is complicated, as evidenced by a discouraging project failure rate. An often quoted reason is that the complex relationships among government, society, and technology which come into play when integrating multiple organizations are not fully understood. This paper addresses this gap by scrutinizing a large national integration project asking, what is the nature and causes of the conflicts that surface during implementation? Data was collected by means of participant observations and narrative interviews. Seven major conflicts were found, all general because they involve basic values which were in conflict with each other. The values were specified by legislation and strictly operationalized in various government institutions which, consequently, were in disagreement about what was legal and desirable. The findings show that in order to achieve interoperability a "re-operationalization" of these values is necessary. These changes cannot be clearly defined upfront but must be "negotiated" by means of practical achievements that are considered important enough to motivate gradual changes in the way we implement our values in legislation and practices. This means that ambitious integration projects must serve as spearheads in such value change, which is a root cause for delays and even failure.
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| 2. |
- Hellberg, Ann-Sofie, 1977-, et al.
(författare)
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Health care integration in practice : an institutionalized dilemma
- 2011
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Ingår i: Electronic government and the information systems perspective. - Berlin : Springer Berlin/Heidelberg. ; , s. 1-14
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Konferensbidrag (refereegranskat)abstract
- Integration in health care is a normative goal, but the legal regulation of government operations across sectors is complex. Many values must be safeguarded and they are therefore legally protected. Interoperability can, however, create value conflicts and there is little empirical research into the constructive attempts to resolve such deep-rooted conflicts. This paper addresses this gap by an in-depth study of how values are institutionalized in laws and government organizations. Data was collected by means of participant observation and narrative interviews. The study showed that value conflicts constitute barriers to integration that were difficult to resolve. One major problem was that the necessary discussion about how the conflicts should be handled could not be held because there was no such arena. Different authorities were governed by different values that were deeply institutionalized; while services were to be integrated, the legal regulating bodies were not.
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| 3. |
- Jemberie, Wossenseged Birhane, 1985-, et al.
(författare)
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Substance Use Disorders and COVID-19 : Multi-Faceted Problems Which Require Multi-Pronged Solutions
- 2020
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Ingår i: Frontiers in Psychiatry. - : Frontiers Media S.A.. - 1664-0640. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- COVID-19 shocked health and economic systems leaving millions of people without employment and safety nets. The pandemic disproportionately affects people with substance use disorders (SUDs) due to the collision between SUDs and COVID-19. Comorbidities and risk environments for SUDs are likely risk factors for COVID-19. The pandemic, in turn, diminishes resources that people with SUD need for their recovery and well-being. This article presents an interdisciplinary and international perspective on how COVID-19 and the related systemic shock impact on individuals with SUDs directly and indirectly. We highlight a need to understand SUDs as biopsychosocial disorders and use evidence-based policies to destigmatize SUDs. We recommend a suite of multi-sectorial actions and strategies to strengthen, modernize and complement addiction care systems which will become resilient and responsive to future systemic shocks similar to the COVID-19 pandemic.
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| 4. |
- Sandlund, Mikael, et al.
(författare)
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Att förbättra vården vid missbruk – hur gör man?
- 2023
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Ingår i: Socialmedicinsk Tidskrift. - 0037-833X. ; 1:5, s. 648-654
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Tidskriftsartikel (refereegranskat)abstract
- Artikeln ger en kort bakgrund om svensk missbruksvård. De forskningsprojekt vars resultat detta temanummer bygger på har uppstått utifrån denna förståelse. Förkortningarna EPI och ESTR får också sina förklaringar och beskrivs. Det finns en rad svar på rubrikens fråga. Det vanligaste är att det skulle behövas en generell ambitionshöjning, något som anses kräva mer resurser, vilket inte är så enkelt att ordna. Ett annat svar är att huvudmännens ansvar borde förtydligas, vilket redan en nu 12 år gammal offentlig utredning föreslog via ett samlat huvudmannaskap hos sjukvårdshuvudmannen för behandling vid missbruk och beroende (SOU 2011:35). En aktuell utredning föreslår samma sak (SOU 2023:5). Hur det verkligen blir återstår att se. Alldeles oberoende av reformer så finns det möjligheter till kvalitetsförbättringar och effektiviseringar genom att planera och följa upp de insatser som erbjuds brukarna på ett systematiskt sätt.
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