Developing health and social care planning in collaboration

Abstract

Collaboration between different professions in community care for older people is often both difficult and complex. In this project, a participatory action research (PAR) was conducted in order to support the professions involved in the care for older people to develop individualized health and social care plans. Cases from daily work were discussed in different professional groups over a period of one year. A key finding was that lack of knowledge regarding the other professions' field of expertise and their underlying professional culture and values was a barrier in their collaboration. However, as the continuous reflective dialogue process progressed, the participants began to reflect more about the importance of collaboration as a prerequisite to achieve the best possible care for the recipient. This process of reflection led to the often complex needs of the care recipients being given a more central position and thus care plans being better tailored to each person's needs.

The care‐planning conference: Exploring aspects of person‐centred interactions

“…The findings show that not all care‐planning conferences conducted have a clear purpose or follow a structured agenda to ensure that all the different parts are included. They also confirm the complexity when different actors are collaborating, as revealed in other studies (Jansen et al., ; Rämgård et al., ). In Sweden, the law (SOU, :20) regulates care‐planning collaboration.…”

“…Organizations and professions have their own legislations, values, responsibilities and budgets, and with this system, there is a risk of fragmentation and lack of continuity of the care provided (Berglund, Hasson, Kjellgren, & Wilhelmson, ; Sundström, Petersson, Rämgård, Varland, & Blomqvist, ). Collaboration among different professions in the community is complex and multifaceted (Rämgård, Blomqvist, & Petersson, ), and studies have identified various barriers and facilitators related to the organization of health care (Jansen, Heijmans, & Rijken, ).…”

When colocation is not enough: a case study of General Practitioner Super Clinics in Australia

“…Collaborative inter-professional routines develop slowly and require individual, practice and system support (Rämgård et al 2015). Our data showed how preoccupation with financial viability at two new GPSCs could conflict with other objectives, significantly slowing development of collaborative routines for chronic care.…”

“…International experiences indicate that practice transformation towards multidisciplinary care takes time, as clinicians and other practice staff adjust established practices and routines (Rämgård et al 2015). Success requires: embedding principles of evidencebased care, relational continuity and patient-centred care; systematic approaches to delivery of comprehensive clinical care (Wagner et al 2012); and active, visible leaders, explicit staff training and quality data (Quinn et al 2013).…”

Health and social care planning in collaboration in older persons’ homes: the perspectives of older persons, family members and professionals

“…Health and social care needs of older persons with multiple diseases are often extensive, complex and changing over time . Several different occupations are involved in the care, but the collaboration is not unproblematic . As care of older persons is increasingly provided outside hospitals and nursing homes, the interfaces between health and social care as well as between primary and community care have become an obstacle for an integrated care that fulfils the needs of older persons at home .…”