Determinants of integrated health care development: chains of care in Sweden

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Fältnamn	Indikatorer	Metadata
000		02842naa a2200313 4500
001		oai:DiVA.org:hkr-12549
003		SwePub
008		140812s2007 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a urn:nbn:se:hkr:diva-125492 urn
024	7	a https://doi.org/10.1002/hpm.8702 DOI
040		a (SwePub)hkr
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Åhgren, Bengtu Nordic School of Public Health4 aut0 (Swepub:hkr)ahgben
245	1 0	a Determinants of integrated health care development :b chains of care in Sweden
264	1	c 2007
338		a print2 rdacarrier
520		a Local health care in Sweden is an emerging form of integrated care, linked together by chains of care. Experiences show, however, that the development of chains of care is making slow progress. In order to study the factors behind this development, an embedded multiple-case study design was chosen. The study compared six health authorities in Sweden, three with successful and three with unsuccessful chain of care development. Three major determinants of integrated health care development were identified: professional dedication, legitimacy and confidence. In more detail, space for prime movers and trust between participants were crucial success factors, while top-down approaches targeting at the same time a change of management systems were negative for the development of chains of care. Resistance from the body of physicians was a serious obstacle to such a development. Local health care depends on developed chains of care, but it seems that health care managers do not have the management systems necessary to run these clinical networks, mainly due to a lack of acceptance from the medical profession. This is an impossible situation in the long run, since the number of chains of care is likely to increase as a result of the emerging local health care. Copyright (c) 2007 John Wiley & Sons, Ltd.
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskaperx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskaper0 (SwePub)3032 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciences0 (SwePub)3032 hsv//eng
700	1	a Axelsson, Runo4 aut
710	2	a Nordic School of Public Health4 org
773	0	t International Journal of Health Planning and Managementg 22:2, s. 145-157q 22:2<145-157x 0749-6753x 1099-1751
856	4 8	u http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-12549x lärosäteslänky Till lärosätets (hkr) databas
856	4 8	u https://doi.org/10.1002/hpm.870

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International Journal of Health Planning and Management (Sök värdpublikationen i LIBRIS)

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Högskolan Kristianstad

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Av författaren/redakt...: Åhgren, Bengt; Axelsson, Runo

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskaper; och Hälso och sjukvå ...

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Av lärosätet: Högskolan Kristianstad

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