Enveiskjört samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med
helseforetak om kommunale akutte dögnenheter
Engelsk titel: Cooperation between Norwegian municipal acute bed units and hospitals: A one-way street?
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Författare:
Skinner, Marianne Sundlisaeter
Språk: Nor
Antal referenser: 26
Dokumenttyp:
Artikel
UI-nummer: 16023088
Sammanfattning
The Norwegian Coordination Reform of 2012 transferred responsibilities from the state-run
specialist health service to the municipality-run primary healthcare service, simultaneously aiming to
improve coordination and cooperation between the two levels. This article investigates how
managers and doctors in the municipalities have experienced cooperation with the hospitals on the
service level since the reform was implemented. The study focuses on municipal emergency bed
units, which are to be introduced in all 428 Norwegian municipalities by 2016. Qualitative interviews
with representatives from eight emergency units were conducted in order to identify routines for
hospital-municipality cooperation on the service level. The study indicates that there is a majority of
cooperation-passive municipality/hospital constellations and a minority of cooperation-active
constellations. Furthermore, it is unclear who has the responsibility for initiating and maintaining
cooperation. It is argued that both parties have to be active to establish effective cooperation
structures on the service level.