Resumé
BACKGROUND: Continuity of mental health care is central to improve the conditions of people with enduring mental disorders. In Denmark, several government-funded projects on the improvement of continuity of mental health care have been initiated since 2009.
AIM: The aim of this study was to investigate how national intervention projects on continuity of mental health care have addressed major barriers for continuity of care and extract general learning points from the projects on the improvement of continuity of care.
METHOD: The study was designed as a thematic document analysis of external evaluations of 14 major national projects on the improvement of continuity of routine mental health care from 2009 to 2017. The data material was processed through thematic coding and comparative analysis.
RESULTS: The analysis was organized around four main barriers for continuity: Lack of models for collaboration, different professional cultures and methods, lack of channels of communication, and intersectoral differences in management, economy, and legislation. The first three barriers were addressed in a predominant part of the projects through development of collaborative models, common tools and communication systems. The latter structural barrier was not addressed in any of the projects.
CONCLUSION: There is an ongoing need to address barriers for continuity of mental health care. So far, there has been a much larger focus on organizational, cultural and communicational aspects of continuity than on structural aspects. The study calls for an increased focus on how changes in existing managerial, economic and legislative structures can improve continuity of care.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Nordic Journal of Psychiatry |
| Vol/bind | 73 |
| Udgave nummer | 1 |
| Sider (fra-til) | 36-43 |
| ISSN | 0803-9488 |
| DOI | |
| Status | Udgivet - 2019 |
Fingeraftryk
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Addressing organizational barriers to continuity of care in the Danish mental health system - a comparative analysis of 14 national intervention projects. / Kristensen, Mette Marie; Sølvhøj, Ida Nielsen; Kusier, Amalie Oxholm; Folker, Anna Paldam.
I: Nordic Journal of Psychiatry, Bind 73, Nr. 1, 2019, s. 36-43.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
TY - JOUR
T1 - Addressing organizational barriers to continuity of care in the Danish mental health system - a comparative analysis of 14 national intervention projects
AU - Kristensen, Mette Marie
AU - Sølvhøj, Ida Nielsen
AU - Kusier, Amalie Oxholm
AU - Folker, Anna Paldam
PY - 2019
Y1 - 2019
N2 - BACKGROUND: Continuity of mental health care is central to improve the conditions of people with enduring mental disorders. In Denmark, several government-funded projects on the improvement of continuity of mental health care have been initiated since 2009.AIM: The aim of this study was to investigate how national intervention projects on continuity of mental health care have addressed major barriers for continuity of care and extract general learning points from the projects on the improvement of continuity of care.METHOD: The study was designed as a thematic document analysis of external evaluations of 14 major national projects on the improvement of continuity of routine mental health care from 2009 to 2017. The data material was processed through thematic coding and comparative analysis.RESULTS: The analysis was organized around four main barriers for continuity: Lack of models for collaboration, different professional cultures and methods, lack of channels of communication, and intersectoral differences in management, economy, and legislation. The first three barriers were addressed in a predominant part of the projects through development of collaborative models, common tools and communication systems. The latter structural barrier was not addressed in any of the projects.CONCLUSION: There is an ongoing need to address barriers for continuity of mental health care. So far, there has been a much larger focus on organizational, cultural and communicational aspects of continuity than on structural aspects. The study calls for an increased focus on how changes in existing managerial, economic and legislative structures can improve continuity of care.
AB - BACKGROUND: Continuity of mental health care is central to improve the conditions of people with enduring mental disorders. In Denmark, several government-funded projects on the improvement of continuity of mental health care have been initiated since 2009.AIM: The aim of this study was to investigate how national intervention projects on continuity of mental health care have addressed major barriers for continuity of care and extract general learning points from the projects on the improvement of continuity of care.METHOD: The study was designed as a thematic document analysis of external evaluations of 14 major national projects on the improvement of continuity of routine mental health care from 2009 to 2017. The data material was processed through thematic coding and comparative analysis.RESULTS: The analysis was organized around four main barriers for continuity: Lack of models for collaboration, different professional cultures and methods, lack of channels of communication, and intersectoral differences in management, economy, and legislation. The first three barriers were addressed in a predominant part of the projects through development of collaborative models, common tools and communication systems. The latter structural barrier was not addressed in any of the projects.CONCLUSION: There is an ongoing need to address barriers for continuity of mental health care. So far, there has been a much larger focus on organizational, cultural and communicational aspects of continuity than on structural aspects. The study calls for an increased focus on how changes in existing managerial, economic and legislative structures can improve continuity of care.
KW - Continuity of care
KW - intersectoral collaboration
KW - mental health care
KW - mental health rehabilitation
KW - psychiatry
KW - Health Services Accessibility/organization & administration
KW - Humans
KW - Intersectoral Collaboration
KW - Mental Disorders/therapy
KW - Continuity of Patient Care/organization & administration
KW - Organizational Culture
KW - Adolescent
KW - Denmark
KW - Adult
KW - Mental Health Services/organization & administration
KW - Child
KW - Communication
U2 - 10.1080/08039488.2018.1551929
DO - 10.1080/08039488.2018.1551929
M3 - Journal article
VL - 73
SP - 36
EP - 43
JO - Nordic Journal of Psychiatry
JF - Nordic Journal of Psychiatry
SN - 0803-9488
IS - 1
ER -