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dc.contributor.authorGrimsmo, Anders
dc.contributor.authorLøhre, Audhild
dc.contributor.authorRøsstad, Tove Garåsen
dc.contributor.authorGjerde, Ingunn
dc.contributor.authorHeiberg, Ina Heidi
dc.contributor.authorSteinsbekk, Aslak
dc.date.accessioned2018-08-28T13:26:13Z
dc.date.available2018-08-28T13:26:13Z
dc.date.created2018-04-16T08:20:26Z
dc.date.issued2018
dc.identifier.citationScandinavian Journal of Primary Health Care. 2018, 36 (2), 152-160.nb_NO
dc.identifier.issn0281-3432
dc.identifier.urihttp://hdl.handle.net/11250/2559698
dc.description.abstractObjective: To explore the feasibility of disease-specific clinical pathways when used in primary care. Design: A mixed-method sequential exploratory design was used. First, merging and exploring quality interview data across two cases of collaboration between the specialist care and primary care on the introduction of clinical pathways for four selected chronic diseases. Secondly, using quantitative data covering a population of 214,700 to validate and test hypothesis derived from the qualitative findings. Setting: Primary care and specialist care collaborating to manage care coordination. Results: Primary-care representatives expressed that their patients often have complex health and social needs that clinical pathways guidelines seldom consider. The representatives experienced that COPD, heart failure, stroke and hip fracture, frequently seen in hospitals, appear in low numbers in primary care. The quantitative study confirmed the extensive complexity among home healthcare nursing patients and demonstrated that, for each of the four selected diagnoses, a homecare nurse on average is responsible for preparing reception of the patient at home after discharge from hospital, less often than every other year. Conclusions: The feasibility of disease-specific pathways in primary care is limited, both from a clinical and organisational perspective, for patients with complex needs. The low prevalence in primary care of patients with important chronic conditions, needing coordinated care after hospital discharge, constricts transferring tasks from specialist care. Generic clinical pathways are likely to be more feasible and efficient for patients in this setting. Keywords: health service research, care coordination, integrated care, general practice, home health nursing, practice guideline, multimorbiditynb_NO
dc.language.isoengnb_NO
dc.publisherTaylor & Francisnb_NO
dc.relation.urihttps://doi.org/10.1080/02813432.2018.1459167
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/deed.no*
dc.titleDisease-specific clinical pathways - are they feasible in primary care? A mixed-methods studynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber152-160nb_NO
dc.source.volume36nb_NO
dc.source.journalScandinavian Journal of Primary Health Carenb_NO
dc.source.issue2nb_NO
dc.identifier.doi10.1080/02813432.2018.1459167
dc.identifier.cristin1579417
dc.description.localcode© 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.nb_NO
cristin.unitcode194,65,20,0
cristin.unitnameInstitutt for samfunnsmedisin og sykepleie
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse-Ikkekommersiell 4.0 Internasjonal
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