Sundhedsaftalernes implementering i et frontarbejderperspektiv
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Winther, Emilie Engell1, Forfatter
Gjelstrup, Gunnar2, Vejleder
1Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7001              
2Institut for Statskundskab, Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7003              
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Ukontrollerede emneord: Sundhedsaftaler
 Abstract: Since the advent of the Structural Reform in 2007 a greater need for collaboration has arisen between the municipalities and the regions concerning the instances of health care services where the patient is discharged but still needs treatment. For this reason the health agreements were introduced to facilitate the collaboration between the regions and the municipalities as well as to handle the problems on the interface of contact. The main ambition of this thesis is to examine how the implementation of the health agreements affects the collaboration amongst the frontline workers in post-surgical rehabilitation. The dissertation takes as its point of departure a case study of the Capital Region, which focuses on a selected hospital and two recipient municipalities. A qualitative research design with scholarly interviews with five physiotherapists and with two consultants is employed.
The dissertation is based on two main theories 1) the implementation theory, which provides the analytical framework for the dissertation and 2) Bogason’s Institutional Network Analysis Bottom-Up (INABU), which introduces a number of variable factors that make it possible to observe the informal network between the frontline workers on the local level. The theoretical contribution of this dissertation is to link the two main theories in a new synthesis theory by means of an abductive approach that makes it possible to state exactly the theoretical parameters through oscillation between theory and empirical data.
The analysis takes as its starting point the region consultants’ accentuation of certain issues of conflict among the health professionals as well as the frontline workers’ pointing to the complexity of the formal networks. The analysis demonstrates that despite the problems stated above the frontline workers see the formal networks as capable of creating recognisability across the authority borders and mutual understanding of each other’s conditions.
Among the leading physiotherapists the recognisability gives rise to a local interaction network which consists of personal acquaintances and a wish from the parties on both sides of the authority borders to ease the tasks in workflows. The informal network is characterized by norms, premises and solutions that benefit the workflows but which are, however, not written in the formal health agreements. Furthermore, the analysis shows that the front workers handle the health agreements the way they are supposed to but that certain norms exist in the implementation of the rehabilitation programmes that are hard to unite with the new norms from the health agreements.
The thesis concludes that despite the front workers’ view of the formal network as complex both the networks still works as a catalyst for increasing collaboration amongst the leading physiotherapists. However on the other hand the ordinary physiotherapists are not included in both the formal and the informal network and consequently they do not benefit from increased collaboration.
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 Type: Speciale
Alternativ titel: Implementation of the health agreements in a frontline workers perspective
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Sprog: Danish - dan
 Datoer: 2012-11-08
 Sider: -
 Publiceringsinfo: København : Københavns Universitet
 Indholdsfortegnelse: -
 Note: -
 Type: Speciale
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