A systems perspective on gaps in the person-centered sick leave and rehabilitation process: a Swedish interview study
Background Consensus on priorities to optimize the sick leave and rehabilitation process (SRP) is lacking.Objective To explore perspectives of stakeholders in the SRP on bridging the gap between desired process scope, and actual practice, from a multi-professional, multi-organizational, and interdis...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Scandinavian Journal of Primary Health Care |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/02813432.2024.2434123 |
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| author | Märit Löfgren Karin Törnbom Daniel Gyllenhammar Lena Nordeman Gun Rembeck Cecilia Björkelund Irene Svenningsson Dominique Hange |
| author_facet | Märit Löfgren Karin Törnbom Daniel Gyllenhammar Lena Nordeman Gun Rembeck Cecilia Björkelund Irene Svenningsson Dominique Hange |
| author_sort | Märit Löfgren |
| collection | DOAJ |
| description | Background Consensus on priorities to optimize the sick leave and rehabilitation process (SRP) is lacking.Objective To explore perspectives of stakeholders in the SRP on bridging the gap between desired process scope, and actual practice, from a multi-professional, multi-organizational, and interdisciplinary approach.Design and setting Focus group interviews were conducted with various SRP frontline professionals in Region Västra Götaland, Sweden, using purposive sampling to capture a range of experiences. Participants discussed their perceptions of critical changes and priorities needed to meet patients’ SRP needs in a primary care context. All interviews were analyzed using systematic text condensation, as described by Malterud.Subjects General practitioners (n = 6), rehabilitation coordinators and licensed healthcare professionals from primary healthcare (n = 13), administrators from the Social Insurance Agency, the Employment Agency and Social Services (n = 12).Results Through data analysis, the following themes emerged: 1) The need for rules and regulations to enable coherent process governance 2) Challenges and opportunities in person-centered SRP: Professional collaboration, organizational priorities, and the need for enhanced leadership, and 3) Balancing resources and patient needs in the SRP: How to improve care quality and accessibility. In summary, participants mainly discussed how to improve process efficiency and quality of care while balancing available resources and a heavy workload. A main goal was to prevent negative spirals of suboptimal decision-making in individual cases, which could lead to increased work, unfortunate outcomes, and patient suffering.Conclusions This qualitative study indicated that gaps between a desired process scope and actual practice might be bridged by enabling coherent cross-organizational process governance, prioritizing person-centered ways of working, and balancing available resources and workload. The above changes were believed to improve process quality and overall efficiency.Trial registration The study project plan was pre-registered on September 21st, 2020, in the database FOU i VGR (researchweb.org), project number 274941. |
| format | Article |
| id | doaj-art-5b9d0a4aa50144eb8de4ae576909dfc2 |
| institution | Kabale University |
| issn | 0281-3432 1502-7724 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Scandinavian Journal of Primary Health Care |
| spelling | doaj-art-5b9d0a4aa50144eb8de4ae576909dfc22024-12-03T06:10:40ZengTaylor & Francis GroupScandinavian Journal of Primary Health Care0281-34321502-77242024-12-0111410.1080/02813432.2024.2434123A systems perspective on gaps in the person-centered sick leave and rehabilitation process: a Swedish interview studyMärit Löfgren0Karin Törnbom1Daniel Gyllenhammar2Lena Nordeman3Gun Rembeck4Cecilia Björkelund5Irene Svenningsson6Dominique Hange7General Practice / Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenGeneral Practice / Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Technology Management and Economics, Centre of Healthcare Improvements, Chalmers University of Technology, Gothenburg, SwedenRegion Västra Götaland, Research, Education, Development & Innovation Primary Health Care, Research, Education, Development & Innovation Center Södra Älvsborg, SwedenGeneral Practice / Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenGeneral Practice / Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenGeneral Practice / Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenGeneral Practice / Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenBackground Consensus on priorities to optimize the sick leave and rehabilitation process (SRP) is lacking.Objective To explore perspectives of stakeholders in the SRP on bridging the gap between desired process scope, and actual practice, from a multi-professional, multi-organizational, and interdisciplinary approach.Design and setting Focus group interviews were conducted with various SRP frontline professionals in Region Västra Götaland, Sweden, using purposive sampling to capture a range of experiences. Participants discussed their perceptions of critical changes and priorities needed to meet patients’ SRP needs in a primary care context. All interviews were analyzed using systematic text condensation, as described by Malterud.Subjects General practitioners (n = 6), rehabilitation coordinators and licensed healthcare professionals from primary healthcare (n = 13), administrators from the Social Insurance Agency, the Employment Agency and Social Services (n = 12).Results Through data analysis, the following themes emerged: 1) The need for rules and regulations to enable coherent process governance 2) Challenges and opportunities in person-centered SRP: Professional collaboration, organizational priorities, and the need for enhanced leadership, and 3) Balancing resources and patient needs in the SRP: How to improve care quality and accessibility. In summary, participants mainly discussed how to improve process efficiency and quality of care while balancing available resources and a heavy workload. A main goal was to prevent negative spirals of suboptimal decision-making in individual cases, which could lead to increased work, unfortunate outcomes, and patient suffering.Conclusions This qualitative study indicated that gaps between a desired process scope and actual practice might be bridged by enabling coherent cross-organizational process governance, prioritizing person-centered ways of working, and balancing available resources and workload. The above changes were believed to improve process quality and overall efficiency.Trial registration The study project plan was pre-registered on September 21st, 2020, in the database FOU i VGR (researchweb.org), project number 274941.https://www.tandfonline.com/doi/10.1080/02813432.2024.2434123Primary health caresick leavepatient care managementpatient-centered careSweden |
| spellingShingle | Märit Löfgren Karin Törnbom Daniel Gyllenhammar Lena Nordeman Gun Rembeck Cecilia Björkelund Irene Svenningsson Dominique Hange A systems perspective on gaps in the person-centered sick leave and rehabilitation process: a Swedish interview study Scandinavian Journal of Primary Health Care Primary health care sick leave patient care management patient-centered care Sweden |
| title | A systems perspective on gaps in the person-centered sick leave and rehabilitation process: a Swedish interview study |
| title_full | A systems perspective on gaps in the person-centered sick leave and rehabilitation process: a Swedish interview study |
| title_fullStr | A systems perspective on gaps in the person-centered sick leave and rehabilitation process: a Swedish interview study |
| title_full_unstemmed | A systems perspective on gaps in the person-centered sick leave and rehabilitation process: a Swedish interview study |
| title_short | A systems perspective on gaps in the person-centered sick leave and rehabilitation process: a Swedish interview study |
| title_sort | systems perspective on gaps in the person centered sick leave and rehabilitation process a swedish interview study |
| topic | Primary health care sick leave patient care management patient-centered care Sweden |
| url | https://www.tandfonline.com/doi/10.1080/02813432.2024.2434123 |
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