Barriers and enablers of coordination across healthcare system levels
Artikel i vetenskaplig tidskrift, 2023

Coordination across healthcare system levels is a global imperative to ensure efficient resource utilization and provide high-quality care. The substantial body of research on coordination in healthcare mainly concerns coordination across professional and organizational domains. Consequently, there is a dearth of empirical research aimed at delineating the determinants of coordination across healthcare system levels. This paper describes and analyses the barriers and enablers of healthcare coordination across national, regional, and local system levels in a populous Swedish region. Individual interviews and focus group discussions, encompassing a total of 63 individuals, were conducted with managers, administrators, and politicians. The findings of the paper underscore that the barriers identified were most often of a structural or institutional character, whereas the enablers of the studied cross-level coordination were mostly relational. Therefore, we propose that future research should aim to further delineate the prerequisites for personal relationships to emerge, as well as how they may act as enablers of coordination across healthcare system levels.

healthcare systems

healthcare efficiency

healthcare coordination

high-quality care

Författare

Christian Gadolin

Chalmers, Teknikens ekonomi och organisation, Service Management and Logistics

Erik Eriksson

Chalmers, Teknikens ekonomi och organisation, Service Management and Logistics

Journal of Public Affairs

1472-3891 (ISSN) 14791854 (eISSN)

Vol. 23 e2871

Ämneskategorier

Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

DOI

10.1002/pa.2871

Mer information

Senast uppdaterat

2024-07-17