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The information flow in a healthcare organisation with integrated units
Ersta Sköndal Bräcke University College, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet, Sweden.ORCID iD: 0000-0003-0536-0024
Karolinska Institutet, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
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2019 (English)In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 19, no 3, p. 1-10, article id 20Article in journal (Refereed) Published
Abstract [en]

Introduction: Integrated care is believed to provide support to patients with multiple long-term and complex conditions. Transparency in information delivery is key for shared decision-making, and co-production of care. This study aimed to explore information pathways within an integrated healthcare and social care organisation and describe how information continuity was delivered for an older patient with complex care needs.

Methods: An explorative single-case study conducted in a Swedish healthcare organization where municipality and the county council have integrated their services. One focus group discussion and six individual interviews were conducted.

Results: Information flow to partners in care was obstructed, with compensatory double documentation, complementary information channels, and information loss. A heavy burden was on the patient and relatives to keep track of and communicate information between different caregivers. Patients were expected to be active partners in their own care, but were largely excluded from the information flow.

Discussion: Even integration of care organisations does not imply that integrated care is delivered at the sharp end of practice. An integrated electronic health record is needed to improve accessibility of care information from within all the organisations, facilitating handovers between professionals and levels of care, and involving patients in the information flow.

Place, publisher, year, edition, pages
Ubiquity Press, 2019. Vol. 19, no 3, p. 1-10, article id 20
Keywords [en]
Information continuity, Integrated care, Interoperability, Multimorbidity, Patient participation, Patient safety
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
URN: urn:nbn:se:lnu:diva-92490DOI: 10.5334/ijic.4192PubMedID: 31592046OAI: oai:DiVA.org:lnu-92490DiVA, id: diva2:1411046
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014-4948Available from: 2020-03-02 Created: 2020-03-02 Last updated: 2020-05-18Bibliographically approved

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Flink, MariaKirsebom, MarieEkstedt, Mirjam

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CiteExportLink to record
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Citation style
  • apa
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  • de-DE
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  • en-US
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Output format
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