Økt spesialisering og differensieringi sykehjem

Towards specialised and differentiated long-term care services: a cross-sectional study

“…Specialised care for people with dementia was most prevalent services provided during long-term nursing home stays, while rehabilitation and palliative care were the two most prevalent services provided during short-term stays. These findings are in line with those of previous studies [17,25]. Home care was also provided by specialised teams for several different patient groups, most commonly for those requiring dementia care and reablement.…”

“…Traditionally, long-term care services in Norway have adopted a generalist approach, meaning they were intended to serve a broad group of patients, primarily older adults over the age of 67 [16]. Our data and previous research [16,17] suggest that there has been a considerable shift in the care service landscape during the last 10-20 years, and new care service models include a wide range of specialised services. Increased awareness of the care needs of patients with complex and multiple long-term conditions, who are prevalent recipients of long-term care, could be one explanation for the increase in targeted and specialised health and social care services.…”

“…An online survey was designed specifically for this study. The questions were developed from a comprehensive review of literature, including research [17,20], reports [15,16] and white papers [21,22], and in partnership with a user panel. The panel consisted of representatives from five municipalities of different sizes (based on population) and geographical locations.…”

“…For home care, specialisation is based on the number of specialised teams established within the municipality's home care service(s): 'no' (0 teams), 'low availability' (1 or 2 different teams) and 'high availability' (3 or more different teams). We chose to categorise the availability of specialised services in this way based on discussion among the research team, previous research on the topic of specialisation in long-term care [16,17] and what seems sensible and reasonable from a practice perspective. Fit for the data was also taken into consideration where we explored the frequency distribution to decide how to group the data into the appropriate categories.…”

“…The findings of a qualitative study conducted in selected Norwegian municipalities in 2014 indicated that nursing homes served a broader set of individuals compared to 10 years ago, when nursing homes primarily provided general services to older adults [16]. Now, people in need of palliative care or people with substance abuse issues may receive care in nursing homes, although this differentiated form of nursing home care seems to be provided primarily in large municipalities [17]. However, there is still a knowledge gap concerning whether and how local care service models are emerging in the longterm care service landscape following the introduction of new patients and tasks.…”