hkr.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Is it better to be big? The reconfiguration of 21st century hospitals: Responses to a hospital merger in Sweden
Nordic School of Public Health.ORCID-id: 0000-0002-7895-3341
2008 (engelsk)Inngår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 87, nr 1, s. 92-99Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: Swedish hospital mergers seem to stem from a conviction among policy makers that bigger hospitals lead to lower average costs and improved clinical outcomes. The effects of mergers in the form of multisited hospitals have not been systematically evaluated. The purpose of this article is to contribute to this area of knowledge by exploring responses to the merger of Blekinge Hospital.

Methods: The evaluation was guided by the philosophy of triangulation. A questionnaire was sent to 597 randomly selected employees, that is 24% of the health care staff. Four hundred ninety-eight employees answered the questionnaire, giving a response rate of 83%. Furthermore, interviews of different groups of stakeholders were conducted.

Results: A moderate increase of quality was assessed, which, a low proportion of the employees perceived had decisively or largely to do with the merger. The majority perceives economical incentives as the drivers of change, but, at the same time, only 10% of this group believes this target was reached completely or to a large extent.

Conclusions: The employees believe the merger has neither generated economy of scale advantages nor substantial quality improvement. Instead, it seems more rewarding to promote cross-functional collaboration together with clinical specialisation. Needs for both integration and differentiation could thereby be fulfilled. (c) 2008 Elsevier Ireland Ltd. All rights reserved.

sted, utgiver, år, opplag, sider
2008. Vol. 87, nr 1, s. 92-99
HSV kategori
Identifikatorer
URN: urn:nbn:se:hkr:diva-12547DOI: 10.1016/j.healthpol.2008.02.001ISI: 000257274900010PubMedID: 18359123OAI: oai:DiVA.org:hkr-12547DiVA, id: diva2:737299
Tilgjengelig fra: 2014-08-12 Laget: 2014-08-12 Sist oppdatert: 2017-12-05bibliografisk kontrollert

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

Forlagets fulltekstPubMed

Personposter BETA

Åhgren, Bengt

Søk i DiVA

Av forfatter/redaktør
Åhgren, Bengt
I samme tidsskrift
Health Policy

Søk utenfor DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 30 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf