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dc.contributor.authorLa Rocca, Antonella
dc.contributor.authorHoholm, Thomas
dc.date.accessioned2017-03-16T09:10:14Z
dc.date.available2017-03-16T09:10:14Z
dc.date.issued2017
dc.identifier.citationBMC Health Services Research, 17(2017)149, 1-14nb_NO
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/11250/2434283
dc.descriptionThis is an Open Access journal available from http://www.biomedcentral.com/nb_NO
dc.description.abstractBackground In Norway, a government reform has recently been introduced to enhance coordination between primary and secondary care. This paper examines the effects of two newly introduced measures to improve the coordination: an ICT-based communication tool/standard and an economic incentive scheme. Method This qualitative study is based primarily on 27 open-ended interviews. We interviewed nine employees at a hospital (the focal actor), 17 employees from seven different municipalities, and a representative of a Regional Health Authority. Results ICT-based communication is perceived to facilitate information exchange between primary and secondary care, thus positively affecting coordination. However, the economic incentive scheme appears to have the opposite effect by creating tensions between the two organizations and accentuating power asymmetry in favor of secondary care. Conclusions The inter-organizational nature of coordination in health care makes it crucial for policymakers and management of care organizations to conceive incentives and instruments that work jointly across organizations rather than at only one of the health care organizations involved. Such an approach is likely to favor a more symmetrical pattern of collaboration between primary and secondary care.nb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.titleCoordination between primary and secondary care: The role of electronic massages and economic incentivesnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.source.journalBMC Health Services Researchnb_NO
dc.identifier.doi10.1186/s12913-017-2096-4
dc.description.localcode2, OAnb_NO


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