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Organising vocational rehabilitation through interorganisational integration: a case study in Sweden
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
Nordic School of Public Health, Göteborg, Sweden.
2011 (English)In: International Journal of Health Planning and Management, ISSN 0749-6753, E-ISSN 1099-1751, Vol. 26, no 3, e169-e185 p.Article in journal (Refereed) Published
Abstract [en]

This study describes and analysis five years of experiences from organising an interorganisational project on vocational rehabilitation. A qualitative case study approach was used based on interviews, focus group discussions and documents. The aim was to analyse how and why the project was organised in the way it was in relation to theories of integration, organisational change and learning. The results show that the vocational rehabilitation project was initiated mainly for financial reasons. It was organised as a mechanistic system with the aim of producing different activities, where financial control and support from all the levels of the organisations involved was important. A new bureaucracy between the different authorities involved was built up, where the vertical (top-down) integration was more important than the horizontal. The result was scattered islands of interprofessional work in different teams, but without contacts between them. The project did not influence the processes or workflows of the organisations involved in the project, which would be important from a service-user perspective. It may therefore be questionnable to organise the development of interorganisational integration for vocational rehabilitation in a separate project organisation. Instead, interorganisational networks with focus on interconnections of processes and workflows may be more flexible and adaptable.

Place, publisher, year, edition, pages
2011. Vol. 26, no 3, e169-e185 p.
Keyword [en]
qualitative case study, interorganizational integration, vocational rehabilitation, organizational change, complex adaptive system
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-129193DOI: 10.1002/hpm.1067ISI: 000293988300012PubMedID: 20938911OAI: oai:DiVA.org:uu-129193DiVA: diva2:337729
Available from: 2010-08-09 Created: 2010-08-09 Last updated: 2017-12-12Bibliographically approved

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Holmström, Inger

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