Organizing integrated care for older persons: strategies in Sweden during the past decade

Journal of Health Organization and Management
Helene BerglundKarin Kjellgren

Abstract

The purpose of this paper is to describe and analyse ways of organizing integrated care for older persons in Sweden during the past decade. The data consist of 62 cases of development work, described in official reports. A meta-analysis of cases was performed, including content analysis of each case. A theoretical framework comprising different forms of integration (co-ordination, contracting, co-operation and collaboration) was applied. Co-operation was common and collaboration, including multiprofessional teamwork, was rare in the cases. Contracting can be questioned as being a form of integration, and the introduction of consumer choice models appeared problematic in inter-organization integration. Goals stated in the cases concerned steering and designing care, rather than outcome specifications for older persons. Explicit goals to improve integration in itself could imply that the organizations adapt to strong normative expectations in society. Trends over the decade comprised development of local health care systems, introduction of consumer choice models and contracting out. Most cases were projects, but others comprised evaluations of regular organization of integrated care. These evaluations were often written normativ...Continue Reading

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Citations

Sep 28, 2016·International Journal of Health Care Quality Assurance·Päivi Huotari, Zuzana Havrdová
Oct 9, 2019·International Journal of Integrated Care·Åsa KneckMirjam Ekstedt

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