Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre
The issue of integrated care and inter-sectoral collaboration is on the health policy agenda in many countries. Yet, there is limited knowledge about the effects of the different policy instruments used to achieve this. This paper studies co-location as a driver for cross-sectoral collaboration with...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2016-12-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/articles/2471 |
| _version_ | 1818135608074174464 |
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| author | Christian Elling Scheele Karsten Vrangbæk |
| author_facet | Christian Elling Scheele Karsten Vrangbæk |
| author_sort | Christian Elling Scheele |
| collection | DOAJ |
| description | The issue of integrated care and inter-sectoral collaboration is on the health policy agenda in many countries. Yet, there is limited knowledge about the effects of the different policy instruments used to achieve this. This paper studies co-location as a driver for cross-sectoral collaboration with general practitioners (GPs) acting as coordinators in a municipal health centre. The purpose of the health centre, which is staffed by health professionals from municipal, regional and private sectors, is to provide primary health services to the citizens of the municipality. Co-locating these professionals is supposed to benefit e.g., elder citizens and patients with chronic diseases who frequently require services from health professionals across administrative sectors. Methodologically, the analysis is based on qualitative data in the form of semi-structured interviews with the health professionals employed at the health centre and with administrative managers from municipal and regional government levels. The study finds that co-location does not function as a driver for cross-sectoral collaboration in a health centre when GPs act as coordinators. Cross-sectoral collaboration is hampered by the general practitioners’ work routines and professional identity, by organisational factors and by a lack of clarity concerning the content of collaboration with regard to economic and professional incentives. |
| first_indexed | 2024-12-11T09:27:13Z |
| format | Article |
| id | doaj.art-3d3b929f9a0442ad928db2c265bbf25f |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-11T09:27:13Z |
| publishDate | 2016-12-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-3d3b929f9a0442ad928db2c265bbf25f2022-12-22T01:13:07ZengUbiquity PressInternational Journal of Integrated Care1568-41562016-12-0116410.5334/ijic.24712324Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health CentreChristian Elling Scheele0Karsten Vrangbæk1University of Copenhagen, Department of Public Health, Centre for Healthy Aging, Centre for Health EconomicsUniversity of Copenhagen, Department of Public Health, Centre for Healthy Aging, Centre for Health EconomicsThe issue of integrated care and inter-sectoral collaboration is on the health policy agenda in many countries. Yet, there is limited knowledge about the effects of the different policy instruments used to achieve this. This paper studies co-location as a driver for cross-sectoral collaboration with general practitioners (GPs) acting as coordinators in a municipal health centre. The purpose of the health centre, which is staffed by health professionals from municipal, regional and private sectors, is to provide primary health services to the citizens of the municipality. Co-locating these professionals is supposed to benefit e.g., elder citizens and patients with chronic diseases who frequently require services from health professionals across administrative sectors. Methodologically, the analysis is based on qualitative data in the form of semi-structured interviews with the health professionals employed at the health centre and with administrative managers from municipal and regional government levels. The study finds that co-location does not function as a driver for cross-sectoral collaboration in a health centre when GPs act as coordinators. Cross-sectoral collaboration is hampered by the general practitioners’ work routines and professional identity, by organisational factors and by a lack of clarity concerning the content of collaboration with regard to economic and professional incentives.http://www.ijic.org/articles/2471Integrated careco-locationcross-sectoral collaborationmunicipal health centre |
| spellingShingle | Christian Elling Scheele Karsten Vrangbæk Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre International Journal of Integrated Care Integrated care co-location cross-sectoral collaboration municipal health centre |
| title | Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre |
| title_full | Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre |
| title_fullStr | Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre |
| title_full_unstemmed | Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre |
| title_short | Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre |
| title_sort | co location as a driver for cross sectoral collaboration with general practitioners as coordinators the case of a danish municipal health centre |
| topic | Integrated care co-location cross-sectoral collaboration municipal health centre |
| url | http://www.ijic.org/articles/2471 |
| work_keys_str_mv | AT christianellingscheele colocationasadriverforcrosssectoralcollaborationwithgeneralpractitionersascoordinatorsthecaseofadanishmunicipalhealthcentre AT karstenvrangbæk colocationasadriverforcrosssectoralcollaborationwithgeneralpractitionersascoordinatorsthecaseofadanishmunicipalhealthcentre |