Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark

Health care systems are increasingly complex, and evidence shows poor coordination of care within and between providers, as well as at the interface between different levels of care. The purpose of this study is to explore users’ and providers’ (stakeholders’) perspectives of integrated care in Denm...

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Main Authors: Fadumo Noor, Gabriel Gulis, Leena Eklund Karlsson
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Societies
Subjects:
Online Access:https://www.mdpi.com/2075-4698/12/5/124
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author Fadumo Noor
Gabriel Gulis
Leena Eklund Karlsson
author_facet Fadumo Noor
Gabriel Gulis
Leena Eklund Karlsson
author_sort Fadumo Noor
collection DOAJ
description Health care systems are increasingly complex, and evidence shows poor coordination of care within and between providers, as well as at the interface between different levels of care. The purpose of this study is to explore users’ and providers’ (stakeholders’) perspectives of integrated care in Denmark. We conducted qualitative interviews with 19 providers and 18 users that were analysed through inductive content analysis. Providers’ and stakeholders’ perceived deficits in system-level factors, lack of organizational culture, weaknesses in communication, a need for a shift towards considering equity in access to health services and focus on person-centeredness. Fundamental changes suggested by participants were better sharing of information and knowledge, focus on stronger trust building, efforts in making communication more effective, and changes in incentive structure. Users perceived poor navigation in the health care system, frustration when they experienced that the services were not based on their needs and lack of support for improving their health literacy. The study showed health care weaknesses in improving user involvement in decision-making, enhancing the user–provider relationship, coordination, and access to services. Public health within integrated care requires policies and management practices that promote system awareness, relationship-building and information-sharing and provides incentive structures that support integration.
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spelling doaj.art-2f0aa340639a49529dbfc2943c753db02023-11-24T02:33:01ZengMDPI AGSocieties2075-46982022-09-0112512410.3390/soc12050124Users’ and Providers’ Perceptions about Integrated Health Care in Southern DenmarkFadumo Noor0Gabriel Gulis1Leena Eklund Karlsson2Unit for Health Promotion Research, University of Southern Denmark, Degnevej 14, 6705 Esbjerg, DenmarkUnit for Health Promotion Research, University of Southern Denmark, Degnevej 14, 6705 Esbjerg, DenmarkUnit for Health Promotion Research, University of Southern Denmark, Degnevej 14, 6705 Esbjerg, DenmarkHealth care systems are increasingly complex, and evidence shows poor coordination of care within and between providers, as well as at the interface between different levels of care. The purpose of this study is to explore users’ and providers’ (stakeholders’) perspectives of integrated care in Denmark. We conducted qualitative interviews with 19 providers and 18 users that were analysed through inductive content analysis. Providers’ and stakeholders’ perceived deficits in system-level factors, lack of organizational culture, weaknesses in communication, a need for a shift towards considering equity in access to health services and focus on person-centeredness. Fundamental changes suggested by participants were better sharing of information and knowledge, focus on stronger trust building, efforts in making communication more effective, and changes in incentive structure. Users perceived poor navigation in the health care system, frustration when they experienced that the services were not based on their needs and lack of support for improving their health literacy. The study showed health care weaknesses in improving user involvement in decision-making, enhancing the user–provider relationship, coordination, and access to services. Public health within integrated care requires policies and management practices that promote system awareness, relationship-building and information-sharing and provides incentive structures that support integration.https://www.mdpi.com/2075-4698/12/5/124integrated carepublic healthhealth care systemDenmark
spellingShingle Fadumo Noor
Gabriel Gulis
Leena Eklund Karlsson
Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark
Societies
integrated care
public health
health care system
Denmark
title Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark
title_full Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark
title_fullStr Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark
title_full_unstemmed Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark
title_short Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark
title_sort users and providers perceptions about integrated health care in southern denmark
topic integrated care
public health
health care system
Denmark
url https://www.mdpi.com/2075-4698/12/5/124
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