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Implementing a cont...
Implementing a continuum of care model for older people - results from a Swedish case study
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- Dunér, Anna, 1962 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för socialt arbete,Department of Social Work
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- Blomberg, Staffan (author)
- Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Socialhögskolan,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Health Sciences,Faculty of Medicine,School of Social Work,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences
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- Hasson, Henna (author)
- Karolinska Institutet,Lund University,Lunds universitet,Företagsekonomiska institutionen,Ekonomihögskolan,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Business Administration,Lund University School of Economics and Management, LUSEM,Department of Health Sciences,Faculty of Medicine
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(creator_code:org_t)
- Ubiquity Press, Ltd. 2011
- 2011
- English.
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In: International Journal of Integrated Care. - : Ubiquity Press, Ltd.. - 1568-4156. ; 11:October-December
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Abstract
Subject headings
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- Introduction: There is a need for integrated care and smooth collaboration between care-providing organisations and professions to create a continuum of care for frail older people. However, collaboration between organisations and professions is often problematic. The aim of this study was to examine the process of implementing a new continuum of care model in a complex organisational context, and illuminate some of the challenges involved. The introduced model strived to connect three organisations responsible for delivering health and social care to older people: the regional hospital, primary health care and municipal eldercare. Methods: The actions of the actors involved in the process of implementing the model were understood to be shaped by the actors' understanding, commitment and ability. This article is based on 44 qualitative interviews performed on four occasions with 26 key actors at three organisational levels within these three organisations. Results and conclusions: The results point to the importance of paying regard to the different cultures of the organisations when implementing a new model. The role of upper management emerged as very important. Furthermore, to be accepted, the model has to be experienced as effectively dealing with real problems in the everyday practice of the actors in the organisations, from the bottom to the top.
Subject headings
- SAMHÄLLSVETENSKAP -- Sociologi -- Socialt arbete (hsv//swe)
- SOCIAL SCIENCES -- Sociology -- Social Work (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- 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)
Keyword
- older people
- continuum of care
- integrated care
- implementation
- qualitative methods
- Sweden
- social care
- conceptual-framework
- health
- partnerships
- fidelity
- services
Publication and Content Type
- ref (subject category)
- art (subject category)
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