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A national study on collaboration in care planning for patients with complex needs
Närhälsan Kungshamn Health Centre, Region Västra Götaland, Kungshamn, Sweden; University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Gothenburg, Sweden ; Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Fyrbodal, Sweden.
Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Fyrbodal, Sweden.
Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Fyrbodal, Sweden; Chalmers University of Technology, Centre on Health Care Improvement and Innovation, Gothenburg, Sweden .
University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Gothenburg, Sweden ; Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Fyrbodal, Sweden.
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2019 (English)In: International Journal of Health Planning and Management, ISSN 0749-6753, E-ISSN 1099-1751, Vol. 34, no 1, p. E646-E660Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: The purpose of this study was to investigate inter-organisational collaboration on care planning for patients with complex care needs. Internationally, and in Sweden where the data for this study was collected, difficulties in care planning and transition of patients between the main health care providers, hospitals, municipal care, and primary care are well known.

METHOD: A survey of a total population of care managers in hospitals, municipalities, and primary care in Sweden was conducted. The study assessed accessibility, willingness, trustworthiness, and collaboration between health care providers. Data were analysed with descriptive statistics, bivariate, and multivariate regressions.

RESULTS: The results indicate that Swedish health care providers show strong self-awareness, but they describe each other's ability to collaborate as weak. Primary care stands out, displaying the highest discrepancy between self-awareness and displayed accessibility, willingness, trustworthiness, and collaboration.

CONCLUSION: Inability to collaborate in patient care planning may be due to shortcomings in terms of trust between caregivers in the health care organisation at a national level. Organisations that experience difficulties in collaboration tend to defend themselves with arguments about their own excellence and insufficiency of others.

Place, publisher, year, edition, pages
2019. Vol. 34, no 1, p. E646-E660
Keywords [en]
care managers, complex care needs, health care organisation, inter-organisational collaboration, patient care planning
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Nursing
Research subject
SOCIAL SCIENCE, Informatics; Work Integrated Learning
Identifiers
URN: urn:nbn:se:hv:diva-13066DOI: 10.1002/hpm.2680ISI: 000464099700078PubMedID: 30350318Scopus ID: 2-s2.0-85055257280OAI: oai:DiVA.org:hv-13066DiVA, id: diva2:1259400
Funder
Region Västra Götaland
Note

Funders: Fyrbodal

Available from: 2018-10-29 Created: 2018-10-29 Last updated: 2019-05-10Bibliographically approved

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Gellerstedt, Martin

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