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Implementing a continuum of care model for older people—results from a Swedish case study

INTRODUCTION: There is a need for integrated care and smooth collaboration between care-providing organisations and professions to create a continuum of care for frail older people. However, collaboration between organisations and professions is often problematic. The aim of this study was to examin...

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Autores principales: Dunér, Anna, Blomberg, Staffan, Hasson, Henna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Igitur publishing 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3225243/
https://www.ncbi.nlm.nih.gov/pubmed/22128279
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author Dunér, Anna
Blomberg, Staffan
Hasson, Henna
author_facet Dunér, Anna
Blomberg, Staffan
Hasson, Henna
author_sort Dunér, Anna
collection PubMed
description INTRODUCTION: There is a need for integrated care and smooth collaboration between care-providing organisations and professions to create a continuum of care for frail older people. However, collaboration between organisations and professions is often problematic. The aim of this study was to examine the process of implementing a new continuum of care model in a complex organisational context, and illuminate some of the challenges involved. The introduced model strived to connect three organisations responsible for delivering health and social care to older people: the regional hospital, primary health care and municipal eldercare. METHODS: The actions of the actors involved in the process of implementing the model were understood to be shaped by the actors' understanding, commitment and ability. This article is based on 44 qualitative interviews performed on four occasions with 26 key actors at three organisational levels within these three organisations. RESULTS AND CONCLUSIONS: The results point to the importance of paying regard to the different cultures of the organisations when implementing a new model. The role of upper management emerged as very important. Furthermore, to be accepted, the model has to be experienced as effectively dealing with real problems in the everyday practice of the actors in the organisations, from the bottom to the top.
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spelling pubmed-32252432011-11-29 Implementing a continuum of care model for older people—results from a Swedish case study Dunér, Anna Blomberg, Staffan Hasson, Henna Int J Integr Care Research and Theory INTRODUCTION: There is a need for integrated care and smooth collaboration between care-providing organisations and professions to create a continuum of care for frail older people. However, collaboration between organisations and professions is often problematic. The aim of this study was to examine the process of implementing a new continuum of care model in a complex organisational context, and illuminate some of the challenges involved. The introduced model strived to connect three organisations responsible for delivering health and social care to older people: the regional hospital, primary health care and municipal eldercare. METHODS: The actions of the actors involved in the process of implementing the model were understood to be shaped by the actors' understanding, commitment and ability. This article is based on 44 qualitative interviews performed on four occasions with 26 key actors at three organisational levels within these three organisations. RESULTS AND CONCLUSIONS: The results point to the importance of paying regard to the different cultures of the organisations when implementing a new model. The role of upper management emerged as very important. Furthermore, to be accepted, the model has to be experienced as effectively dealing with real problems in the everyday practice of the actors in the organisations, from the bottom to the top. Igitur publishing 2011-11-18 /pmc/articles/PMC3225243/ /pubmed/22128279 Text en Copyright 2011, International Journal of Integrated Care (IJIC) http://creativecommons.org/licenses/by/3.0/ This work is licensed under a (http://creativecommons.org/licenses/by/3.0) Creative Commons Attribution 3.0 Unported License
spellingShingle Research and Theory
Dunér, Anna
Blomberg, Staffan
Hasson, Henna
Implementing a continuum of care model for older people—results from a Swedish case study
title Implementing a continuum of care model for older people—results from a Swedish case study
title_full Implementing a continuum of care model for older people—results from a Swedish case study
title_fullStr Implementing a continuum of care model for older people—results from a Swedish case study
title_full_unstemmed Implementing a continuum of care model for older people—results from a Swedish case study
title_short Implementing a continuum of care model for older people—results from a Swedish case study
title_sort implementing a continuum of care model for older people—results from a swedish case study
topic Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3225243/
https://www.ncbi.nlm.nih.gov/pubmed/22128279
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