Cristin-resultat-ID: 2050629
Sist endret: 3. februar 2023, 13:43
NVI-rapporteringsår: 2022
Resultat
Vitenskapelig artikkel
2022

Integration of Care in Complex and Fragmented Service Systems: Experiences of Staff in Flexible Assertive Community Treatment Teams

Bidragsytere:
  • Kristin Trane
  • Kristian Aasbrenn
  • Martin Rønningen
  • Sigrun Odden
  • Annika Lexén og
  • Anne Signe Landheim

Tidsskrift

International Journal of Integrated Care (IJIC)
ISSN 1568-4156
e-ISSN 1568-4156
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2022
Publisert online: 2022
Volum: 22
Hefte: 2
Open Access

Importkilder

Scopus-ID: 2-s2.0-85131546203

Beskrivelse Beskrivelse

Tittel

Integration of Care in Complex and Fragmented Service Systems: Experiences of Staff in Flexible Assertive Community Treatment Teams

Sammendrag

ntroduction: To provide more integrated care, several countries have implemented the Flexible Assertive Community Treatment (FACT) model. However, this model does not guarantee full integration, especially in complex and fragmented service systems like in Norway. Hence, we investigated which barriers that might reduce the potential for integrated care in the Norwegian system, as described by staff in FACT teams, and how they adjust their way of working to increase the opportunities for integration.Methods: Online focus group interviews involving 35 staff members of five Norwegian FACT teams were conducted using a semi-structured interview guide. The material was analysed using thematic text analysis.Results: Six themes described the barriers to integrated care in the service system: fragmentation, different legislation and digital systems, challenges in collaboration, bureaucracy and limited opening hours. Three themes described adjustments in the teams’ way of working to enhance integration: working as the responsible co-ordinator, being a collaborator, and the only entry channel into the service system.Conclusion: The FACT team staff described several barriers to integration within the system. However, they made some adjustments in their way of working that might provide opportunities for integrated care within complex and fragmented service systems. © 2022 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.

Bidragsytere

Aktiv cristin-person

Kristin Trane

  • Tilknyttet:
    Forfatter
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF

Kristian Aasbrenn

  • Tilknyttet:
    Forfatter
    ved Institutt for organisasjon, ledelse, styring ved Høgskolen i Innlandet

Martin Rønningen

  • Tilknyttet:
    Forfatter
    ved Institutt for økonomifag ved Høgskolen i Innlandet

Sigrun Odden

  • Tilknyttet:
    Forfatter
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF

Annika Lexén

  • Tilknyttet:
    Forfatter
    ved Lunds universitet
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