Effekt av ADL - trening for personer med kronisk obstruktiv lungesykdom - en randomisert
kontrollert studie
Engelsk titel: Effect of ADL - training of persons with chronic obstructive lung disease - a randomized controlled
trial
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Författare:
Hansen, Frederik Bjørge
;
Mengshoel, Anne Marit
Email: fredrik.hansen@glittreklinikken.no
Språk: Nor
Antal referenser: 34
Dokumenttyp:
RCT
UI-nummer: 11083264
Sammanfattning
The Purchaser-Provider Model is on its way into Norwegian municipalities. The model assumes a separation of the roles
of purchaser and provider, and that these roles are carried out through different organisational units. This paper
addresses the implementation of the purchaser-provider model in physiotherapy and occupational therapy services in
a local district in the city of Oslo. The empirical material consists of interviews with the persons responsible for both
purchasing and providing the physiotherapy and occupational therapy services in the district, and in addition various
relevant documents. The practice in the district represents a significant modification of the theoretical «ideal» model.
The model is implemented internally in the municipal organisation, the provider has the budgetary responsibility, it is a
close integration between purchaser and provider, and the roles are not distinctly separated. The basis for this adjustment
can be understood within three contexts. Firstly, a local context related to the implementation of the model in
the district. Secondly, the context related to the professional field of rehabilitation, and thirdly, a Norwegian municipal
context. The discussion shows the importance of studying implementation of such models in a contextual perspective.
Further, the results give reasons to bring up an issue concerning the connection between organisational modernisation
in the municipalities and the effects on the quality of services.