Exploringthe concept of patient-centred collaboration in health care: a study of homecare in two Swedish cities
2005 (English)Conference paper, Presentation (Refereed)
The quality of medical services is decreasing in several countries. In Sweden reductions have been made in the allocation of resources to medical services, with the result that the pressure on those people working in this sector increases, which in turn leads to stress and burn-out in medical staff. Alongside the demands for savings and greater efficiency in home care, the number of people in need of care in their home environment increases - a fact which puts even more pressure on the people working in this sector. Treating patients in their home is a good solution for all parties involved around a patient, and many patients, especially patients within palliative care and patients suffering from multiple illness, prefer being treated at home instead of being hospitalised. Treatment in an environment in which they feel more comfortable can make the patient feel more relaxed and secure - a state of mind that is considered important in order to advance recovery. To facilitate collaboration between different caring units there is a great need to have access to the right information at the right time. The home care team's work demands a way to access and update information while mobile. The solution will have to be adaptive to the mobile character of the home care teams’ work, i.e. the amount of information as well as the type of information communicated and distributed has to be adjustable to the bandwidth and presentation means available at the team’s current position. Today, at least here in Sweden, most units/organisations and different professions within a unit have their own system to store information. These systems are not compatible because of different definitions of concepts, among other reasons. A result of this is that it is not possible to exchange information between different units and/or professions. One important aspect of the collaboration between different units/organisations and professionals, especially within home care, is the understanding of how the collaboration is to be conducted between the different parties. This paper describes the result of a pilot study conducted at two different locations in Sweden. The aim of the study was to investigate the concept of collaboration in home care and get some suggestions about improving the weak links of collaboration. The respondents were chosen from three categories of people; patients/relatives, nursing staff, and management. The focus is on the collaboration conducted between these different people involved in the Proceedings of the 10thInternational Symposium on Health Information Management Research – iSHIMR 2005 2 care situation as well as their view of how collaboration could and should be handled. The results from the pilot study show that several collaboration problems exist, both between the different care giving organisations/groups as well as within groups.
Place, publisher, year, edition, pages
Collaboration, home care
Information Systems, Social aspects
IdentifiersURN: urn:nbn:se:umu:diva-57580OAI: oai:DiVA.org:umu-57580DiVA: diva2:543342
iSHIMR 2005: 10th International Symposium for Health Information Management Research. Thessaloniki, Greece, September 2005.