IDEAS home Printed from https://ideas.repec.org/a/gam/jsoctx/v12y2022i5p124-d910739.html
   My bibliography  Save this article

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

Author

Listed:
  • Fadumo Noor

    (Unit for Health Promotion Research, University of Southern Denmark, Degnevej 14, 6705 Esbjerg, Denmark)

  • Gabriel Gulis

    (Unit for Health Promotion Research, University of Southern Denmark, Degnevej 14, 6705 Esbjerg, Denmark)

  • Leena Eklund Karlsson

    (Unit for Health Promotion Research, University of Southern Denmark, Degnevej 14, 6705 Esbjerg, Denmark)

Abstract

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.

Suggested Citation

  • Fadumo Noor & Gabriel Gulis & Leena Eklund Karlsson, 2022. "Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark," Societies, MDPI, vol. 12(5), pages 1-19, September.
  • Handle: RePEc:gam:jsoctx:v:12:y:2022:i:5:p:124-:d:910739
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2075-4698/12/5/124/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/2075-4698/12/5/124/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Øvretveit, John & Hansson, Johan & Brommels, Mats, 2010. "An integrated health and social care organisation in Sweden: Creation and structure of a unique local public health and social care system," Health Policy, Elsevier, vol. 97(2-3), pages 113-121, October.
    2. Struckmann, Verena & Leijten, Fenna R.M. & van Ginneken, Ewout & Kraus, Markus & Reiss, Miriam & Spranger, Anne & Boland, Melinde R.S. & Czypionka, Thomas & Busse, Reinhard & Rutten-van Mölken, Mauree, 2018. "Relevant models and elements of integrated care for multi-morbidity: Results of a scoping review," Health Policy, Elsevier, vol. 122(1), pages 23-35.
    3. Aine Carroll, 2021. "Integrated Care Through the Lens of a Complex Adaptive System," Springer Books, in: Volker Amelung & Viktoria Stein & Esther Suter & Nicholas Goodwin & Ellen Nolte & Ran Balicer (ed.), Handbook Integrated Care, edition 2, chapter 0, pages 595-609, Springer.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gianluca Misuraca & Clelia Colombo & Csaba Kucsera & Stephanie Carretero & Margherita Bacigalupo & Raluca Radescu, 2015. "ICT-enabled Social Innovation in support of the Implementation of the Social Investment Package (IESI) - Mapping and Analysis of ICT-enabled Social Innovation Initiatives promoting Social Investment t," JRC Research Reports JRC97467, Joint Research Centre.
    2. Tuomas Korhonen & Virpi Sillanpää & Aki Jääskeläinen, 2023. "Anchor practices that guide horizontal performance measurement: an interventionist case study of the financial aspect of new technology implementation in healthcare," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 27(3), pages 787-816, September.
    3. Anne Mason & Maria Goddard & Helen Weatherly, 2014. "Financial Mechanisms for Integrating Funds for Health and Social Care: An Evidence Review," Working Papers 097cherp, Centre for Health Economics, University of York.
    4. Hald, Andreas Nielsen & Bech, Mickael & Burau, Viola, 2021. "Conditions for successful interprofessional collaboration in integrated care – Lessons from a primary care setting in Denmark," Health Policy, Elsevier, vol. 125(4), pages 474-481.
    5. Smith, Peter C. & Sagan, Anna & Siciliani, Luigi & Figueras, Josep, 2023. "Building on value-based health care: Towards a health system perspective," Health Policy, Elsevier, vol. 138(C).
    6. Sue Lukersmith & Luis Salvador-Carulla & Younjin Chung & Wei Du & Anoush Sarkissian & Michael Millington, 2023. "A Realist Evaluation of Case Management Models for People with Complex Health Conditions Using Novel Methods and Tools—What Works, for Whom, and under What Circumstances?," IJERPH, MDPI, vol. 20(5), pages 1-20, February.
    7. Janssen, Bienke M. & Snoeren, Miranda W.C. & Van Regenmortel, Tine & Abma, Tineke A., 2015. "Working towards integrated community care for older people: Empowering organisational features from a professional perspective," Health Policy, Elsevier, vol. 119(1), pages 1-8.
    8. Litchfield, Ian & Kingston, Beth & Narga, Dee & Turner, Alice, 2022. "The move towards integrated care: Lessons learnt from managing patients with multiple morbidities in the UK," Health Policy, Elsevier, vol. 126(8), pages 777-785.
    9. Csanádi, Marcell & Kaló, Zoltán & Rutten-van Molken, Maureen & Looman, Willemijn & Huic, Mirjana & Ercevic, Darija & Atanasijevic, Dragana & Lorenzovici, László & Petryszyn, Paweł & Pogány, Gábor & Pi, 2022. "Prioritization of implementation barriers related to integrated care models in Central and Eastern European countries," Health Policy, Elsevier, vol. 126(11), pages 1173-1179.
    10. Piriu, Andreea Alexandra, 2021. "Trade Shocks, Job Insecurity and Individual Health," GLO Discussion Paper Series 992, Global Labor Organization (GLO).
    11. Piroddi, Roberta & Downing, Jennifer & Duckworth, Helen & Barr, Benjamin, 2022. "The impact of an integrated care intervention on mortality and unplanned hospital admissions in a disadvantaged community in England: A difference-in-differences study," Health Policy, Elsevier, vol. 126(6), pages 549-557.
    12. Karatekin, Canan & Hong, Saahoon & Piescher, Kristine & Uecker, Jill & McDonald, Jeff, 2014. "An evaluation of the effects of an integrated services program for multi-service use families on child welfare and educational outcomes of children," Children and Youth Services Review, Elsevier, vol. 41(C), pages 16-26.
    13. M. Claire Greene & Clarisa Bencomo & Susan Rees & Peter Ventevogel & Samuel Likindikoki & Ashley Nemiro & Annie Bonz & Jessie K. K. Mbwambo & Wietse A. Tol & Terry M. McGovern, 2021. "Multilevel Determinants of Integrated Service Delivery for Intimate Partner Violence and Mental Health in Humanitarian Settings," IJERPH, MDPI, vol. 18(23), pages 1-17, November.
    14. Looman, Willemijn & Struckmann, Verena & Köppen, Julia & Baltaxe, Erik & Czypionka, Thomas & Huic, Mirjana & Pitter, Janos & Ruths, Sabine & Stokes, Jonathan & Bal, Roland & Rutten-van Mölken, Maureen, 2021. "Drivers of successful implementation of integrated care for multi-morbidity: Mechanisms identified in 17 case studies from 8 European countries," Social Science & Medicine, Elsevier, vol. 277(C).
    15. Shaw, James & Gutberg, Jennifer & Wankah, Paul & Kadu, Mudathira & Gray, Carolyn Steele & McKillop, Ann & Baker, G. Ross & Breton, Mylaine & Wodchis, Walter P., 2022. "Shifting paradigms: Developmental milestones for integrated care," Social Science & Medicine, Elsevier, vol. 301(C).
    16. Calciolari, Stefano & Ilinca, Stefania, 2016. "Unraveling care integration: Assessing its dimensions and antecedents in the Italian Health System," Health Policy, Elsevier, vol. 120(1), pages 129-138.
    17. Mirjam Ekstedt & Marie Kirsebom & Gunilla Lindqvist & Åsa Kneck & Oscar Frykholm & Maria Flink & Carolina Wannheden, 2021. "Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach," IJERPH, MDPI, vol. 19(1), pages 1-19, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsoctx:v:12:y:2022:i:5:p:124-:d:910739. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.