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Dissolving the Patient Bermuda Triangle
Nordic School of Public Health.ORCID iD: 0000-0002-7895-3341
2010 (English)In: International Journal of Care Coordination, ISSN 2053-4354, Vol. 14, no 4, 137-141 p.Article in journal (Refereed) Published
Abstract [en]

The differentiation of roles, tasks and responsibilities in health care has gradually increased because of efforts to decentralize, specialize and professionalize our health-care systems. These development approaches can on the one hand be regarded as successful, although there is also a negative flipside. Increased differentiation has concurrently fragmented the delivery of health care, which, in turn, can be divided into structural, clinical and cultural fragmentation. Patients are lost as a result of these conditions of fragmentation. This phenomenon can metaphorically be described as a ‘Patient Bermuda Triangle’. Actions to dissolve the Patient Bermuda Triangles are commonly termed ‘Integrated health care’, a global buzzword that includes integrated care pathway as well as other integrated health-care strategies. Moreover, integrated care is a means to an end: improved patient outcome. To achieve this, it is crucial to have necessary prerequisites in place: both functional and interactional conditions. This procedure seems to be an organic process where the stakeholders go through gradual changes until the optimum level of integration, as well as mutualistic interactions, is established. If these conditions are concealed or impossible to achieve, developmental work should be ended to avoid the evolvement of antagonistic relations between the stakeholders concerned. This state will likely establish a Patient Bermuda Triangle or reinforce an existing one.

Place, publisher, year, edition, pages
2010. Vol. 14, no 4, 137-141 p.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hkr:diva-12544DOI: 10.1258/jicp.2010.010025OAI: oai:DiVA.org:hkr-12544DiVA: diva2:737286
Available from: 2014-08-12 Created: 2014-08-12 Last updated: 2014-08-19Bibliographically approved

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Åhgren, Bengt
Health Care Service and Management, Health Policy and Services and Health Economy

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CiteExportLink to record
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Cite
Citation style
  • apa
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  • nn-NO
  • nn-NB
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