Cristin-resultat-ID: 1578159
Sist endret: 14. august 2018 14:37
NVI-rapporteringsår: 2018
Resultat
Vitenskapelig artikkel
2018

Keeping one step ahead: A qualitative study among Norwegian health-care providers in hospitals involved in care coordination for patients with complex needs

Bidragsytere:
  • Audhild Høyem
  • Barbara Deede Gammon
  • Gro Karine Rosvold Berntsen og
  • Aslak Steinsbekk

Tidsskrift

International Journal of Care Coordination
ISSN 2053-4345
e-ISSN 2053-4353
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2018
Publisert online: 2018
Trykket: 2018
Volum: 21
Hefte: 1-2
Sider: 15 - 25
Open Access

Importkilder

Scopus-ID: 2-s2.0-85047601983

Finansiering

  • Helse Nord RHF

    • Prosjektkode: ID 7368/PFP1060-12

Beskrivelse Beskrivelse

Tittel

Keeping one step ahead: A qualitative study among Norwegian health-care providers in hospitals involved in care coordination for patients with complex needs

Sammendrag

ntroduction Various efforts aim to enhance continuity of care for patients with long-term health-care needs. Since 2012, Norwegian hospitals are mandated to appoint individual care coordinators for patients with complex needs to ensure continuity in the care pathway. New roles must meld with current practice. Implementation has been slow. This study investigates current care coordination across hospital contexts, from the perspective of health-care providers, a scarcely researched area. Methods A qualitative study using semi-structured individual, duo, and group interviews with 16 purposefully selected Norwegian health-care providers from different hospitals, departments, professions and with various roles. A thematic cross-case analysis using systematic text condensation was performed. Results Common for the interviewees’ care coordination experiences was to “keep one step ahead.” The scope of their coordination activities varied from diagnostics and treatment to orchestrating long-term, cross-sectional multidisciplinary care. This work was often performed without designated resources. The interviewees applied experience, knowledge, and sensitivity when defining the patients’ needs and searching for resources to orchestrate coordination work. They strived to balance the needs of patients with the resources available and adjusted the continuity ambitions on behalf of their patients to what they considered doable in the relevant contexts. However, many told of negotiating special solutions for selected patients with particularly complex needs. Discussion Care coordination for patients with complex needs emerged as diverse and context-sensitive. Acknowledgement of coordination activities that go beyond established workflow routines and clinical pathways, together with flexible leadership support and accessible infrastructural resources are needed.

Bidragsytere

Aktiv cristin-person

Audhild Høyem

  • Tilknyttet:
    Forfatter
    ved Kvalitets- og utviklingssenteret ved Universitetssykehuset Nord-Norge HF

Barbara Deede Gammon

  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for e-helseforskning ved Universitetssykehuset Nord-Norge HF
  • Tilknyttet:
    Forfatter
    ved Senter for pasientmedvirkn. og samhandlingsforskn. ved Oslo universitetssykehus HF

Gro Berntsen

Bidragsyterens navn vises på dette resultatet som Gro Karine Rosvold Berntsen
  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for e-helseforskning ved Universitetssykehuset Nord-Norge HF
  • Tilknyttet:
    Forfatter
    ved Allmennmedisin ved UiT Norges arktiske universitet
Aktiv cristin-person

Aslak Steinsbekk

  • Tilknyttet:
    Forfatter
    ved Institutt for samfunnsmedisin og sykepleie ved Norges teknisk-naturvitenskapelige universitet
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