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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Igitur publishing
2011
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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. |
format | Online Article Text |
id | pubmed-3225243 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Igitur publishing |
record_format | MEDLINE/PubMed |
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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