Are joint health plans effective for coordination of health services? An analysis based on theory and danish pre-reform results
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Are joint health plans effective for coordination of health services? An analysis based on theory and danish pre-reform results. / Strandberg-Larsen, Martin; Nielsen, Mikkel Bernt; Krasnik, Allan.
In: International Journal of Integrated Care, Vol. 7, No. 4, 01.01.2007.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Are joint health plans effective for coordination of health services? An analysis based on theory and danish pre-reform results
AU - Strandberg-Larsen, Martin
AU - Nielsen, Mikkel Bernt
AU - Krasnik, Allan
PY - 2007/1/1
Y1 - 2007/1/1
N2 - Background: Since 1994 formal health plans have been used for coordination of health care services between the regional and local level in Denmark. From 2007 a substantial reform has changed the administrative boundaries of the system and a new tool for coordination has been introduced. Purpose: To assess the use of the pre-reform health plans as a tool for strengthening coordination, quality and preventive efforts between the regional and local level of health care. Methods: A survey addressed to: all counties (n=15), all municipalities (n=271) and a randomised selected sample of general practitioners (n=700). Results: The stakeholders at the administrative level agree that health plans have not been effective as a tool for coordination. The development of health plans are dominated by the regional level. At the functional level 27 percent of the general practitioners are not familiar with health plans. Among those familiar with health plans 61 percent report that health plans influence their work to only a lesser degree or not at all. Conclusion: Joint health planning is needed to achieve coordination of care. Efforts must be made to overcome barriers hampering efficient whole system planning. Active policies emphasising the necessity of health planning, despite involved cost, are warranted to insure delivery of care that benefits the health of the population.
AB - Background: Since 1994 formal health plans have been used for coordination of health care services between the regional and local level in Denmark. From 2007 a substantial reform has changed the administrative boundaries of the system and a new tool for coordination has been introduced. Purpose: To assess the use of the pre-reform health plans as a tool for strengthening coordination, quality and preventive efforts between the regional and local level of health care. Methods: A survey addressed to: all counties (n=15), all municipalities (n=271) and a randomised selected sample of general practitioners (n=700). Results: The stakeholders at the administrative level agree that health plans have not been effective as a tool for coordination. The development of health plans are dominated by the regional level. At the functional level 27 percent of the general practitioners are not familiar with health plans. Among those familiar with health plans 61 percent report that health plans influence their work to only a lesser degree or not at all. Conclusion: Joint health planning is needed to achieve coordination of care. Efforts must be made to overcome barriers hampering efficient whole system planning. Active policies emphasising the necessity of health planning, despite involved cost, are warranted to insure delivery of care that benefits the health of the population.
KW - Coordinated care
KW - Denmark
KW - Health planning
KW - Integrated care
KW - National health system
UR - http://www.scopus.com/inward/record.url?scp=84983108061&partnerID=8YFLogxK
U2 - 10.5334/ijic.220
DO - 10.5334/ijic.220
M3 - Journal article
AN - SCOPUS:84983108061
VL - 7
JO - International Journal of Integrated Care
JF - International Journal of Integrated Care
SN - 1568-4156
IS - 4
ER -
ID: 202290773