Enveiskjørt samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte døgnenheter

The Norwegian Coordination Reform of 2012 transferred responsibilities from the state-run specialist health service to the municipality-run primary healthcare service, simultaneously aiming to improve coordination and cooperation between the two levels. This article investigates how managers and doc...

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Main Author: Marianne Sundlisæter Skinner
Format: Article
Language:Danish
Published: Septentrio Academic Publishing 2015-12-01
Series:Nordisk Tidsskrift for Helseforskning
Subjects:
Online Access:https://septentrio.uit.no/index.php/helseforsk/article/view/3715
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author Marianne Sundlisæter Skinner
author_facet Marianne Sundlisæter Skinner
author_sort Marianne Sundlisæter Skinner
collection DOAJ
description The Norwegian Coordination Reform of 2012 transferred responsibilities from the state-run specialist health service to the municipality-run primary healthcare service, simultaneously aiming to improve coordination and cooperation between the two levels. This article investigates how managers and doctors in the municipalities have experienced cooperation with the hospitals on the service level since the reform was implemented. The study focuses on municipal emergency bed units, which are to be introduced in all 428 Norwegian municipalities by 2016. Qualitative interviews with representatives from eight emergency units were conducted in order to identify routines for hospital-municipality cooperation on the service level. The study indicates that there is a majority of cooperation-passive municipality/hospital constellations and a minority of cooperation-active constellations. Furthermore, it is unclear who has the responsibility for initiating and maintaining cooperation. It is argued that both parties have to be active to establish effective cooperation structures on the service level.
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spelling doaj.art-cdddbae3b136415285f75956fd2018572024-04-16T18:38:31ZdanSeptentrio Academic PublishingNordisk Tidsskrift for Helseforskning1504-36141891-29822015-12-0111210.7557/14.37153460Enveiskjørt samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte døgnenheterMarianne Sundlisæter Skinner0Høgskolen i GjøvikThe Norwegian Coordination Reform of 2012 transferred responsibilities from the state-run specialist health service to the municipality-run primary healthcare service, simultaneously aiming to improve coordination and cooperation between the two levels. This article investigates how managers and doctors in the municipalities have experienced cooperation with the hospitals on the service level since the reform was implemented. The study focuses on municipal emergency bed units, which are to be introduced in all 428 Norwegian municipalities by 2016. Qualitative interviews with representatives from eight emergency units were conducted in order to identify routines for hospital-municipality cooperation on the service level. The study indicates that there is a majority of cooperation-passive municipality/hospital constellations and a minority of cooperation-active constellations. Furthermore, it is unclear who has the responsibility for initiating and maintaining cooperation. It is argued that both parties have to be active to establish effective cooperation structures on the service level.https://septentrio.uit.no/index.php/helseforsk/article/view/3715Cooperationmunicipalitieshospitalsmunicipal emergency bed unitsSamhandlingsamarbeid
spellingShingle Marianne Sundlisæter Skinner
Enveiskjørt samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte døgnenheter
Nordisk Tidsskrift for Helseforskning
Cooperation
municipalities
hospitals
municipal emergency bed units
Samhandling
samarbeid
title Enveiskjørt samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte døgnenheter
title_full Enveiskjørt samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte døgnenheter
title_fullStr Enveiskjørt samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte døgnenheter
title_full_unstemmed Enveiskjørt samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte døgnenheter
title_short Enveiskjørt samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte døgnenheter
title_sort enveiskjort samarbeid en studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte dognenheter
topic Cooperation
municipalities
hospitals
municipal emergency bed units
Samhandling
samarbeid
url https://septentrio.uit.no/index.php/helseforsk/article/view/3715
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