This project addresses how settings and contexts which enhance people-centred care can be created.
In Norway, as elsewhere, there is a call for a paradigm shift in the way health and social care services are managed and delivered. Services should be more coordinated around people’s needs and should be co-produced in partnership with individuals, families and communities. Although the movement towards integrated person-centred care has shown some positive effects, research indicates that outcomes are highly context-specific. Success depends for instance on whether care organizations are able to influence the mindset of the staff and modify the way work is organized.
The implication, motivating this project, is that new research should address how settings and contexts which enhance people-centred care can be created. The overall issue is why interventions aiming at integrated person-centred care succeed in some settings, but fail in others.
The major part of the project consists of case studies of six local care systems which differ in national contexts (four Norwegian, two Danish study sites), type of community (urban/rural), and administrative style (more or less inspired by New Public Management).
The analyses will pay particular attention to measures aiming at horizontal integration, such as (a) integration of medical work and home care/ reablement,(b) co-creation of social care between care staff, volunteers and social entrepreneurs, (c) inter-professional collaboration in home care reablement , and (d) forming trusting relations between staff and home care recipients.
Contextual preconditions for successful outcomes, in terms of aspects both of the care organizations and the surrounding environments, will be identified. The main technique of the case studies is a site switching approach drawing on the skills of a multi-disciplinary research team of academics and practitioners. Qualitative data from case studies will be linked to statistical analyses of a large Nordic survey among staff in elderly care conducted in 2005 (N=5,000) and 2015 (N=8,000).
Participants at OsloMet
- Centre for Care Research, Western Norway University of Applied Sciences
- University of Oslo, Institute of Health and Society
- The Danish Center for Social Science Research – VIVE
- Roskilde University