Developing a preliminary model of healthcare matching as a service. Usefulness and barriers

Lars Nordgren, Catharina Wingner Leifland, Agneta Planander

Abstract


Purpose. The Swedish healthcare system is dealing with long waiting times for patients and an undeveloped degree of coordinating capacity to patients. Against this background, the purpose was to discuss and develop a preliminary conceptual healthcare matching model as well as discuss the usefulness and barriers of healthcare matching.

Methodology. There was collaboration between academia and practitioners in the Skåne region during the period of 2013-2016. Studies of policy documents, scientific articles, reports, meetings with strategists and attendance at a so-called coordination meeting served as a basis for gathering empirical data. Theoretically, the study draws on the concepts of matching, coordination and cooperation.

Findings. A successful healthcare matching requires an advanced matching in order to balance capacity to the needs of the patients. Matching accentuates the two-way interaction, i.e. co-creation between patients and providers. Both healthcare providers and patients could benefit from using matching. In summary, this implies the usefulness of healthcare matching and the development of the healthcare matching model.

Several barriers of political and economic aspects must be paid attention to. The barrier element concerns the legislation that includes minor incentives to cooperate across county council boundaries. The underlying tendencies concerning medico-technological developments and the organisational specialisation of healthcare, economies of scale and bureaucracy, are partially conflicting notions. The strong professional identity in healthcare also constitutes obstacles concerning matching.

Practical implications. In order to succeed in the notion of healthcare matching, there must be an understanding of mutual needs and cooperation by the stakeholders involved.  

Originality/Value. The first study of healthcare matching in the Swedish healthcare system.  


Keywords


accessibility; barriers; coordination; cooperation; healthcare matching; service

Full Text:

PDF

References


Ahgren, B. and Axelsson, R. (2005). “Evaluating Integrated Health Care: a Model for Measurement”, International Journal of Integrated Care, Vol. 5, August 2005.

Ahgren, B. (2014). “The path to integrated healthcare: Various Scandinavian strategies”, International Journal of Care Coordination, 17(1-2), 52-58.

Anell, A. (2004). Strukturer Resurser Drivkrafter, Studentlitteratur, Lund.

Berlin, J. and Kastberg, G. (2011). Styrning av hälso- och sjukvård. Liber, Malmö.

Berry, L.L., and Bendapudi, N. (2007). “Health care: a fertile field for service research”, Journal of Service Research, 10(2), 111-22.

Bihari Axelsson, S. and Axelsson, R. (2009). ”From territoriality to altruism in interprofessional collaboration and leadership.” Journal of Interprofessional Care, 23(4), 320-330.

Cederqvist, J. (Ed.). Recept för vården. Om effektivitet i sjukvården och äldreomsorgen, (Prescriptions for Healthcare, on efficiency in health care and elderly care), SNS 2008, Stockholm.

Czarniawska, B. (2007). Shadowing and Other Techniques for Doing Fieldwork in Modern Societies Liber, Copenhagen Business School Press.

Child, J. and Faulkner, D. (1998). Strategies of Co-operation - Managing Alliances, Networks, and Joint Ventures, Oxford University Press, Oxford.

Cropper, S., Ebers, M., Huxham, C. and Ring, P.S. (2008). “Introducing Inter-Organizational Relations”, in Cropper, S., Ebers, M., Huxham, C., & Ring, P.S. (Ed.) The Oxford Handbook of Inter-Organizational Relations, Oxford University Press, Oxford, pp. 3-24.

Dent, M. and Eason, K.D. (2014), “Electronic information in health and social care - promises and pitfalls”, Health Informatics Journal, 20(3) 165-167.

Diamond, P.A. (1982). “Aggregate Demand Management in Search Equilibrium”, The Journal of Political Economy, 90(5), 881-894.

Doz, Y. (1996). “The Evolution of Cooperation in Strategic Alliances Initial Conditions on Learning Processes”, Strategic Management Journal, 17, 55-83.

Duggal, R., Kumar Khatri, S. and Shukla, B. (2015). “Improving Patient Matching: Single Patient view for Clinical Decision Support using Big Data Analytics”. Reliability, Infocom Technologies and Optimization. 4th International Conference, pp. 1-6.

Epstein, A.J., Ketcham, J.D. and Nicholson, S. (2010). “Specialization and matching in professional services firms”, RAND Journal of Economics, 41(4), 811-834.

Faulkner, D (1995). International Strategic Alliances – Co-operating to Compete, McGraw-Hill Book Company, London.

Fieldston, E., Zaoutis, L., Hicks, P., Kolb, S., Sladek, E., Geiger, D., Agosto, P., Boswinkel, J. and Bell, L. (2014). “Front-Line Ordering Clinicians: Matching Workforce to Workload”. Journal of Hospital Medicine, 9(7), 457-462.

Gulati, R. (2007). “Silo busting: How to Execute on the Promise of Customer Focus”, Harvard Business Review, 85(5), 98–108.

Gulati, R. (2009). Reorganize for Resilience, Harvard Business Press, Boston.

Gustafsson, R.Å. (1987). Traditionernas ok. Den svenska hälso- och sjukvårdens organisering i historie-sociologiskt perspektiv. Falköping: Esselte Studium AB, Falköping.

Hall, R. (2011). Handbook of Healthcare System Scheduling. Springer.

Hibbert, P., Huxham, C. and Ring, P. S. (2008). “Managing Collaborative Inter-Organizational Relations”, in S. Cropper, M. Ebers, C. Huxham & P.S. Ring (Ed.) The Oxford Handbook of Inter-Organizational Relations, Oxford University Press, Oxford, pp. 390-416.

Huxham, C. and Vangen, S. (2005). Managing to Collaborate – The Theory and Practice of Collaborative Advantage, Routledge, Abingdon

Iversen, T. (2014). Aktuelle utfordringer i helsesektorene i Norden. Speech, KEFU, Lund.

Landstingsrevisionen. (2013). Granskning av landstingets system för dimensionering och matchning av vårdplatser. Rapport nr 06/2013.

Lindberg, K. (2009). Samverkan, Liber, Malmö.

Lorange, P. and Roos, J. (1991). Strategic Alliances, Blackwell Publishers, Oxford.

Lovelock, C. and Wirtz, J. (2007). Services Marketing People, Technology, Strategy, Prentice Hall, Person.

Myndigheten för vård- och omsorgsanalys. (2016). Hinder och möjligheter för att öka patientlagens genomslag. Rapport 2016:1. Stockholm.

Nilsson, M. (2015). Samordning av patienter Region Skåne. Yearly report.

Nordgren, L. (2003). Från patient till kund. Intåget av marknadstänkande i sjukvården och förskjutningen av patientens position. Phd dissertation, Lund: Lund Business Press, 216 pp.

Nordgren, L. (2009). “Value Creation in Health Care Services - Developing Service Productivity - Experiences from Sweden”. International Journal for Public Sector Management, 22(2), 114-127.

Nordgren, L. (2010). “Mostly empty words - What the discourse of ’choice’ in health care does”. Journal of Health Organization and Management, 24(2), 109-126.

Nordgren, L. and Åhgren, B. (2010). ”Val av primärvård: resultat från en brukarundersökning baserad på invånarepaneler. Commissioned research report” 2010:3, Swedish Competition Authority, Stockholm.

Nordgren, L. (2011). “Healthcare matching - Conditions for developing a New Service System in Healthcare”, International Journal of Quality and Service Sciences, 3(3), 304-318.

Nordgren, L. (2012). “Guaranteeing healthcare - what does the healthcare guarantee discourse do?”, Financial Accountability & Management, 28(3), 335-354.

Nordgren, L. (2013). “Santé publique: la Suède fixe les délais », Constructif 34, 32-34.

Nordgren, L., Planander, A., Wingner Leifland, C. “Healthcare matching – a value creating service”, The 6th International Jerusalem Conference on Health Policy, Jerusalem 2016-05-22--25.

Persson, J.E. and Westrup. U. (2009). “Fragmented structure and vertical control systems: The Swedish experience of resource utilization in human services”, International Journal of public Sector Management, 22(5), 400-409.

Planander, A. (2002). ”Strategiska allianser och förtroendeprocesser – en studie av strategiska samarbeten mellan högteknologiska företag”, Dissertation, Lund University, Lund Business Press, Lund.

Planander, A. (2004). “Identity and Identification in a Context of Competition”, Conference paper presented at EIASM workshop on coopetition strategy: Towards a new kind of dynamics?, Catania, Italy, September 16-17.

Qu, X., Rardin, R., Williams, J. and Willis, D. (2007).”Matching Daily Healthcare Provider Capacity to Demand in Advanced Access Scheduling Systems”, European Journal of Operational Research, 183, pp. 812-826.

Region Skåne (2013). ”Praxis för samordning av patient i Region Skåne”.

Region Skåne’s auditors (2013). “Report no. 1 Review of accessibility coordination”.

Region Skåne (2015). Seven meetings with the care coordinators 2013-- 2015.

Roth, A.E. (2015). Who Gets What – and Why, Houghton Mifflin Harcourt, New York.

Saltman, R. (2014). “Structural patterns in Swedish health policy: a 30-year perspective”, Health Economics, Policy and Law, 10, pp. 195-215.

Scott, N., Baggio, R. and Cooper, C. (2008). Network Analysis and Tourism: From Theory to Practice. Cromwell Press, Clevedon.

Schreyögg, G. and Sydow, J. (2010). “Organizing for Fluidity? Dilemmas of New Organizational Forms”, Organization Science, 21(6), 1251-1262.

SOU (2016:2). ”Effektiv vård. Slutbetänkande av en nationell samordnare för effektivare resursutnyttjande inom hälso- och sjukvården”, Elanders Sverige AB, Stockholm.

Steiner, P. (2010). “Gift-giving or market? Economists and the performation of organ commerce”, Journal of Cultural Economy, 3(2), 243-259.

Van de Ven, A., H. (2007). Engaged Scholarship - a Guide for Organizational and Social Research, Oxford University Press, Oxford.

Winblad, U. (2007). ”Valfriheten: en misslyckad sjukvårdsreform?” In Blomqvist, P. (Ed.). Vem styr vården? Organisation och politisk styrning inom svensk sjukvård, SNS Förlag, Stockholm, pp. 132-156.

Vinge, S. (2005). ”Arbejdsorganisering og organi¬sationsförståelse i sygehussektorn”, Nordiske OrganisasjonsStudier 2005, 2, pp. 99- 113.

Winblad, U. and Hanning, M. (2013). “Sweden”, in Siciliani, V. Borowitz, M. and Moran, V. (Ed.), Waiting Time Policies in the Health Sector: What Works?, pp. 275-292, OECD.


Refbacks

  • There are currently no refbacks.