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- Szücs, Stefan, 1964, et al.
(författare)
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Cooperation capacity and quality in ageing: A longitudinal study of integrated care
- 2021
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Ingår i: Nordiska kommunforskarkonferensen NORKOM XXX (30th Nordic Conference on Local and Regional Government) Eilert Sundts Hus, Blindern, ISV, University of Oslo, Nov. 25–26, 2021.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- 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.
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