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Primary care managers’ perceptions of their capability in providing care planning to patients with complex needs

Journal article
Authors Lena Gunvor Larsson
Siv Bäck-Pettersson
Sven Kylén
Bertil Marklund
Eric Carlström
Published in Health Policy
Volume 121
Pages 58-65
ISSN 0168-8510
Publication year 2017
Published at Institute of Medicine, School of Public Health and Community Medicine
Institute of Medicine
Institute of Health and Care Sciences
Pages 58-65
Language en
Links doi.org/10.1016/j.healthpol.2016.11...
Keywords Care planning, Complex care needs, Inter-organisational cooperation, Primary care managers
Subject categories Health Care Service and Management, Health Policy and Services and Health Economy

Abstract

© 2016Objectives The aim of this study was to investigate primary care managers’ perceptions of their capability in providing care planning to patients with complex needs. Care planning is defined as a process where the patient, family and health professionals engage in dialogue about the patient's care needs and plan care interventions together. Methods Semi-structured interviews with 18 primary care managers in western Sweden were conducted using Westrin's theoretical cooperation model. Data were analysed using a qualitative deductive method. Main findings Results reveal that the managers’ approach to care planning was dominated by non-cooperation and separation. The managers were permeated by uncertainty about the meaning of the task of care planning as such. They did not seem to be familiar with the national legislation stipulating that every healthcare provider must meet patients’ need for care interventions and participate in the care planning. Implications for practice To accomplish care planning, the process needs to cross – and overcome – both professional and organisational boundaries. There is also a need for incentives to develop working methods that promote local cooperation in order to facilitate optimal care for patients with complex needs.

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