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Local interpretations of health policy concepts: the exemple of Närsjukvård in Sweden
Kristianstad University, School of Health and Society. (Profession: arbetsliv och högskola)
Liverpool John Morse University.
Kristianstad University, School of Health and Society. (Människa, Hälsa och Samhälle)ORCID iD: 0000-0002-0156-388X
Kristianstad University, School of Health and Society. (Omvårdnadsvetenskap, teori och metod)ORCID iD: 0000-0002-4122-3003
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Health care systems in Europe face many challenges requiring greater integration of health and social care. The health policy response in government financed health systems has varied but a consistent feature has been continual change in an attempt to secure greater efficiencies and to meet patient expectations concerning service quality. This paper explores the manifestation of this phenomenon in a subregion of Sweden, where a new concept ‘Närsjukvård’ (literally Nearby Care) was introduced. Method: Data was collected through interviews and questionnaires. A convenience sample of 57 practitioners and managers was interviewed. A questionnaire with four statements based upon the findings from the interviews was answered by 1361 practitioners, managers and politicians working in primary health care, in municipalities and in hospitals. Results: The findings illustrated that the concept was interpreted as; accessibility to hospital beds, accessibility to primary health care, collaboration between care providers and continuity and developed home care. The study revealed different understanding and interpretations partly depending on the respondents’ professional domain and their organisational elonging. Conclusion: A prerequisite for creating a common meaning to the expression ‘Närsjukvård’ is that activities that help the creation of meaning are offered at and between all domain levels and organisations.

Keyword [en]
Organisational change, Management, Concept translation
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hkr:diva-7128OAI: oai:DiVA.org:hkr-7128DiVA: diva2:346045
Available from: 2010-08-30 Created: 2010-08-30 Last updated: 2014-07-01Bibliographically approved

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Petersson, PiaAugustinsson, SörenBlomqvist, Kerstin
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf