A national study on collaboration in care planning for patients with complex needs

Larsson, Lena G; Bäck‐Pettersson, Siv; Kylén, Sven; Marklund, Bertil; Gellerstedt, Martin; Carlström, Eric

doi:10.1002/hpm.2680

Cited by 4 publications

(12 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While physicians and nurses at the EDs would rather have higher collaboration, NAs wished for a fusion. The difference here can be in the understanding of the hierarchical scale of the hospital and between different health‐care categories . According to the participants, being acquainted would ease controversies and improve trust.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Urgent care centre in Sweden—the integration of teams and perceived effects

Wennman

Wittholt

Carlström

et al. 2019

Health Planning & Management

Self Cite

View full text Add to dashboard Cite

Summary An urgent care centre (UCC) is an upcoming trend in Swedish health care. Although UCCs have been established in other countries, their effectiveness and value have not yet been studied in Sweden. The aim of this study was to investigate the interaction between the UCC and emergency department (ED) by using validated evaluation models. One adult ED (AED) and one child ED (CED), together with a newly established UCC nearby, were included in this study. The interaction between the UCC team and the ED teams was studied by using two evaluation models: one for evaluation of integration and the other one for the evaluation of the effects, in terms of perceived relief of the ED after the establishment of the UCC. It was evident that integration was achieved early on in the course of the follow‐up. However, the perception of integration varied between low (EDs) and high collaboration (UCC). All respondents of the EDs indicated relief, in terms of pace and pressure on the ED since the UCC was established. This study indicates that the grade of integration and collaboration between UCC and ED can be achieved automatically and very early during the establishment. It also shows that UCCs can be a competent complement to EDs and alleviate some of the heavy pressure placed on EDs due to ED overcrowding.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The difference here can be in the understanding of the hierarchical scale of the hospital and between different health-care categories. 48 According to the participants, being acquainted would ease controversies and improve trust. This may also create a situation in which they can discuss the process of patients' selection.…”

Section: Discussionmentioning

confidence: 99%

Urgent care centre in Sweden—the integration of teams and perceived effects

Wennman

Wittholt

Carlström

et al. 2019

Health Planning & Management

Self Cite

View full text Add to dashboard Cite

show abstract

“…Besides governance structures and processes, studies examine the role of trust among network members [10,12,41,48,[70][71][72][73]. They show how trust mediates network members' willingness to collaborate in care planning [41,72] and exchange patient-related information through electronic medical records [12]. Trust is a prerequisite for network members to express uncertainty [10] and share professional knowledge [71,73].…”

Section: Leadership Mediamentioning

confidence: 99%

“…Most studies target the network level, analysing how leadership affects network structures and the coordination of network activities. Regarding network structures, they explore how leadership impacts the formation of networks [8,44,47,58,61,68,69,71,82,90,100,101], the number and strength of network ties [51,56,63,64,67,77,78], network density [51,52], network centrality [9,51], network trust [70,72,75], network consensus [78] and network identity [84]. Regarding activity coordination, they examine how leadership affects patient and client referrals [7,10,48,50,52,53,59,60,62,65,66,79,89,91,98,102], care planning [7, 45, 48, 54, 55, 57, 80, 93, 95-97, 102, 104], information sharing [48,4...…”

Section: Leadership Outcomesmentioning

confidence: 99%

Leadership in Integrated Care Networks: A Literature Review and Opportunities for Future Research

Mitterlechner

2020

Int J Integr Care

View full text Add to dashboard Cite

In many countries, elderly patients with chronic conditions require a web of services delivered by several providers collaborating in inter-organisational networks. In view of their global importance, it is surprising how little we know how these networks are led. Like traditional organisations, networks require leadership to function effectively. This paper reviews central characteristics of leadership in integrated care networks and proposes opportunities for future research. Theory and methods: Analysing 73 studies published in leading academic journals, this paper consolidates research on leadership media, practices, activities and outcomes, covering the network, policy and organisation levels of analysis. Results: Findings indicate that the field has focused on leadership media and outcomes at the network level. They also suggest that leadership in integrated care networks faces multiple tensions. Future research could usefully provide a fuller picture by examining leadership practices, activities and outcomes at the policy and organisation level, integrating advances in the wider leadership literature. Discussion and conclusion: These findings contribute to the debate on leadership in integrated care networks. They also inform practice, drawing attention to persistent tensions as a core leadership challenge and offering latest scholarly evidence practitioners can use to reflect on and advance their own leadership practice.

show abstract

“…Establishing more substantial patient involvement in the delivery of health care has become fundamental to health reforms across Western health care services [ 7 ]. Even though patient satisfaction, proximity, accessibility and response times still need to be improved, the status of the patient has changed [ 8 ]. Critiques from patient advocacy groups and civil rights movements towards health services have been raised [ 3 ] and, as an effect, patients have become more involved and make a difference in several stages of health care and care planning [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

A comparison of three organisational levels in one health care region in Sweden implementing person-centred care: coupled, decoupled or recoupled in a complex organisation

Tistad

Wallin

Carlström

2022

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

Background Establishing more substantial patient involvement in the health care has become fundamental to Western health care services. Person-centred care (PCC) has been developed as a way of working that involve the patients and family members. However, the implementation of PCC in clinical practice has proven to be challenging. The aim of this study was to explore the congruence of managers’ perceptions and understanding of various aspects of PCC across three organisational levels in one health care region in Sweden in terms of coupling, decoupling and recoupling. Methods A policy on increased patient participation in health care was adopted in one health care region in Sweden. This policy was embodied in the form of PCC and a support strategy for the implementation was put in place. Participants representing three organisational levels (senders: politicians, n = 3; messengers: senior management, n = 7; and receivers: middle- and frontline managers, n = 13) were interviewed and documents collected. A deductive qualitative content analysis was performed and findings from the three organisational levels compared. Results Descriptions of PCC at all the three organisational levels included health care provided in partnership between provider and patient. However, messengers and receivers also included aspects of how work was organised as part of the concept. Representatives at all levels expected high-quality care while reducing health care costs as an outcome, however, messengers and receivers also anticipated improvements in the work environment and reduced staff turnover. Strategies to support implementation included continuation and enhancement of existing routines that were considered person-centred and development of new ones. A need to make PCC less ‘fuzzy’ and ambiguous and instead communicate a more tangible care process was described. Representatives among messengers and receivers also suggested that no actions were needed because the practice was already considered person-centred. Conclusion The findings indicated that congruence between organisational levels existed in some aspects, suggesting coupling between policy and practice. However, also incongruences were identified that might be due to the fuzziness of definitions and the application of PCC in practice, and the difficulty in assessing the level of patient-centredness in clinical practice.

show abstract

A national study on collaboration in care planning for patients with complex needs

Cited by 4 publications

References 37 publications

Urgent care centre in Sweden—the integration of teams and perceived effects

Urgent care centre in Sweden—the integration of teams and perceived effects

Leadership in Integrated Care Networks: A Literature Review and Opportunities for Future Research

A comparison of three organisational levels in one health care region in Sweden implementing person-centred care: coupled, decoupled or recoupled in a complex organisation

Contact Info

Product

Resources

About