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A national study on collaboration in care planning for patients with complex needs

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  • Lena G. Larsson
  • Siv Bäck‐Pettersson
  • Sven Kylén
  • Bertil Marklund
  • Martin Gellerstedt
  • Eric Carlström

Abstract

Introduction The purpose of this study was to investigate inter‐organisational collaboration on care planning for patients with complex care needs. Internationally, and in Sweden where the data for this study was collected, difficulties in care planning and transition of patients between the main health care providers, hospitals, municipal care, and primary care are well known. Method A survey of a total population of care managers in hospitals, municipalities, and primary care in Sweden was conducted. The study assessed accessibility, willingness, trustworthiness, and collaboration between health care providers. Data were analysed with descriptive statistics, bivariate, and multivariate regressions. Results The results indicate that Swedish health care providers show strong self‐awareness, but they describe each other's ability to collaborate as weak. Primary care stands out, displaying the highest discrepancy between self‐awareness and displayed accessibility, willingness, trustworthiness, and collaboration. Conclusion Inability to collaborate in patient care planning may be due to shortcomings in terms of trust between caregivers in the health care organisation at a national level. Organisations that experience difficulties in collaboration tend to defend themselves with arguments about their own excellence and insufficiency of others.

Suggested Citation

  • Lena G. Larsson & Siv Bäck‐Pettersson & Sven Kylén & Bertil Marklund & Martin Gellerstedt & Eric Carlström, 2019. "A national study on collaboration in care planning for patients with complex needs," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 646-660, January.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e646-e660
    DOI: 10.1002/hpm.2680
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    References listed on IDEAS

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    1. Baker, Amy J.L. & Schneiderman, Mel & Licandro, Victoria, 2017. "Mental health referrals and treatment in a sample of youth in foster care," Children and Youth Services Review, Elsevier, vol. 78(C), pages 18-22.
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    Cited by:

    1. Ingela Wennman & Malin Wittholt & Eric Carlström & Tobias Carlsson & Amir Khorram‐Manesh, 2019. "Urgent care centre in Sweden—the integration of teams and perceived effects," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1205-1216, October.

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