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A national study on collaboration in care planning for patients with complex needs

Journal article
Authors Lena Gunvor Larsson
Siv Bäck-Pettersson
Sven Kylén
Bertil Marklund
Martin Gellerstedt
Eric Carlström
Published in International Journal of Health Planning and Management
Volume 34
Issue 1
Pages e646-e660
ISSN 07496753
Publication year 2019
Published at Institute of Medicine, School of Public Health and Community Medicine
University of Gothenburg Centre for person-centred care (GPCC)
Institute of Medicine
Institute of Health and Care Sciences
Pages e646-e660
Language en
Links https://onlinelibrary-wiley-com.ezp...
Keywords care managers, complex care needs, health care organisation, inter-organisational collaboration, patient care planning
Subject categories Health Care Service and Management, Health Policy and Services and Health Economy


© 2018 John Wiley & Sons, Ltd. 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.

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