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Can we bridge the gap between goals and practice through a common vision?: a study of politicians and managers’ understanding of the provisions of elderly care services
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Health Services Research)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Health Services Research)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
2003 (English)In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 65, no 2, 129-137 p.Article in journal (Refereed) Published
Abstract [en]

The objective of this study was to identify and describe how local politicians and managers experience and understand problems and goals regarding the structures and processes involved in the care of the elderly. Qualitative methodology of a conceptual modelling workshop was used. Participants were healthcare politicians, local municipal politicians, and executive care managers. The main result was that all participants agreed on four key visions for the healthcare of the elderly: see the person, see the individual's resources, see the encounter, and see yourself. Other findings indicated that (a) care of older persons was governed by diverse interests, (b) the organisation lacked clear leadership and comprehensive goals, (c) the organisation was fragmented, and (d) there was a lack of skilled staff members to meet patient needs. Older persons were regarded as passive receivers of care or as objects that did not take an active part in health care decisions that affect them.

Place, publisher, year, edition, pages
2003. Vol. 65, no 2, 129-137 p.
Keyword [en]
Conceptual modelling, Elderly care services, Complex adaptive systems, Organisation of care services
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-65232DOI: 10.1016/S0168-8510(02)00212-9OAI: oai:DiVA.org:uu-65232DiVA: diva2:93143
Available from: 2008-10-17 Created: 2008-10-17 Last updated: 2017-11-30Bibliographically approved

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Henriksen, EvaRosenqvist, Urban

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