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Choice, Voice, and Coproduction in Intermediate Care: Exploring Geriatric Patients’ and Their Relatives’ Perspectives on Patient Participation

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  • Linda Aimée Hartford Kvæl
  • Jonas Debesay
  • Asta Bye
  • Anne Langaas
  • Astrid Bergland

Abstract

Geriatric patients in intermediate care (IC) often do not feel involved in their rehabilitation process. We conducted interviews with 15 patients and 12 relatives to explore their experiences and preferences regarding patient participation in IC and identify types of patient participation and their potential empowering or disempowering effect. The analysis disclosed a lack of patient choice in a predetermined IC pathway. Being deserving of help meant being sick enough and was associated with the compliant patient who fits the system. Some main additional features were the need of a rehabilitation perspective and patient engagement to enable coproduction as well as the important contribution of relatives as advocates and allies. Finally, the results show the patients’ vulnerable voice in the meeting with the experts’ views. The study will add important knowledge on how staff can contribute to the tailoring of good interventions in IC and improve the understanding of underlying structures.

Suggested Citation

  • Linda Aimée Hartford Kvæl & Jonas Debesay & Asta Bye & Anne Langaas & Astrid Bergland, 2019. "Choice, Voice, and Coproduction in Intermediate Care: Exploring Geriatric Patients’ and Their Relatives’ Perspectives on Patient Participation," SAGE Open, , vol. 9(3), pages 21582440198, September.
    • Handle: RePEc:sae:sagope:v:9:y:2019:i:3:p:2158244019876318
    DOI: 10.1177/2158244019876318
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    References listed on IDEAS

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    2. Debesay, Jonas & Harsløf, Ivan & Rechel, Bernd & Vike, Halvard, 2014. "Dispensing emotions: Norwegian community nurses' handling of diversity in a changing organizational context," Social Science & Medicine, Elsevier, vol. 119(C), pages 74-80.
    3. Christopher Hood & Ruth Dixon & Derek Hawes, 2015. "A Government that Worked Better and Cost Less?: Evaluating Three Decades of Reform and Change in UK Central Government," Post-Print hal-01577644, HAL.
    4. Tone Alm Andreassen, 2009. "The consumerism of ‘voice’ in Norwegian health policy and its dynamics in the transformation of health services," Public Money & Management, Taylor & Francis Journals, vol. 29(2), pages 117-122, March.
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    Cited by:

    1. Aimée Hartford Kvæl, Linda & Gautun, Heidi, 2023. "Social inequality in navigating the healthcare maze: Care trajectories from hospital to home via intermediate care for older people in Norway," Social Science & Medicine, Elsevier, vol. 333(C).

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