are joint health plans effective for coordination of health services? an analysis based on theory and danish pre-reform results

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ID: 249145
2007
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Abstract
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.
Reference Key
strandberg-larsen2007internationalare Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Martin Strandberg-Larsen;Mikkel Bernt Nielsen;Allan Krasnik
Journal journal of proteomics
Year 2007
DOI
DOI not found
URL
http://www.ijic.org/index.php/ijic/article/view/220
Keywords
health planning integrated care coordinated care national health system denmarkmedicine (general)

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