出版社：Utrecht University, Maastricht University, Groningen University
摘要：Background : During the past decade, politicians and healthcare providers have strived to create a coherent healthcare system across primary and secondary healthcare sectors in Denmark. Nevertheless, elderly patients with chronic diseases (EPCD) continue to report experiences of poor-quality care and lack of coherence in treatment and patient pathways. The aim : of our study is to explore the role of healthcare providers in furthering coherence. Our ambition is to identify areas for improvement or change of collaborative practice between healthcare providers in municipalities, hospitals and general practice. Method and material : Field observations were chosen as method for data collection because they allowed the researcher to follow the study participants in close proximity. 10 patients older than 65 years with multiple chronic diseases were followed through their patient pathways from admission to an acute care ward to discharge and later in meetings with healthcare providers in general practice, outpatient clinics, home care and physiotherapy. Furthermore, field observations were conducted in general practice, home care and rehabilitation settings. Research design : An explorative design based on an interactionistic approach was used. As a consequence, the focus of data collection is the production of meaning happening between human beings in social interaction in the field of cross-sectorial collaboration. Research questions : The research questions reflect the interactionistic approach as they concentrate on identification and capturing of situations where participants in cross-sectorial collaboration interact with each other. • How do healthcare providers act and communicate in the collaboration concerning EPCD? • How do healthcare providers interact and communicate with EPCD?
关键词：cross-sectorial collaboration ; patient-pathways ; coherence in health care ; field studies
