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Samarbeidsavtaler og samarbeid om utskrivning av pasienter
Engelsk titel: Cooperation agreements and collaboration in the discharge of patients Läs online Författare: Gautun, Heidi ; Martens, Christine Thokle ; Veenstra, Marijke Språk: Nor Antal referenser: 14 Dokumenttyp: Artikel UI-nummer: 16103322

Tidskrift

Tidsskrift for Omsorgsforskning 2016;2(2)88-93 ISSN 2387-5984 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

The new Health and Care Services Act from 2012 commits municipalities and health enterprises to sign a cooperation contract. The contracts aim to promote collaboration between municipalities and health enterprises by stating the distribution of tasks and responsibilities and establishing good local collaboration practices. In this paper, we explore the extent to which the introduction of these contracts affects levels of conflicts and perceived collaboration between municipalities and health enterprises with regard to patient discharge practices between levels of care. Data sources include cases reported to and decisions made by the National Committee for Dispute Resolution for the Health and Care Sector; a survey among key-persons from all health enterprises; and interviews with informants from four case-municipalities. By the end of 2015, the National Committee had received 17 cases. Most of the cases involved patient discharge. Survey- and interview data indicated that conflicts or disagreements that are not presented to the National Committee concerned patient discharge as well. Informants from the case-municipalities reported the increased speed in the transfer of patients between services and sectors to be their main challenge. The results seem to indicate that the introduction of cooperation contracts has not contributed to reduce tensions and conflicts. It remains uncertain if conflicts would have been more frequent and severe without such contracts. Overall, the findings in this paper underlined that cooperation contracts may constitute a useful framework for coordination between hospitals and municipalities, but cannot replace the day- to-day dialogue in discharging patients from hospital to municipal care services.