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dc.contributor.authorSchönfelder, Walter
dc.contributor.authorNilsen, Elin Anita
dc.date.accessioned2017-01-10T08:41:52Z
dc.date.available2017-01-10T08:41:52Z
dc.date.issued2016-11-08
dc.description.abstract<b>Background:</b> Comparisons of health system performance, including the regulations of interprofessional relations and the skill mix between health professions are challenging. National strategies for regulating interprofessional relations vary widely across European health care systems. Unambiguously defined and generally accepted performance indicators have to remain generic, with limited power for recognizing the organizational structures regulating interprofessional relations in different health systems. A coherent framework for in-depth comparisons of different models for organizing interprofessional relations and the skill mix between professional groups is currently not available. This study aims to develop an ideal-typical framework for categorizing skill mix and interprofessional relations in health care, and to assess the potential impact for different ideal types on care coordination and integrated service delivery.<br> <b>Methods:</b> A document analysis of the Health Systems in Transition (HiT) reports published by the European Observatory on Health Systems and Policies was conducted. The HiT reports to 31 European health systems were analyzed using a qualitative content analysis and a process of meaning condensation.<br> <b>Results:</b> The educational tracks available to nurses have an impact on the professional autonomy for nurses, the hierarchy between professional groups, the emphasis given to negotiating skill mix, interdisciplinary teamwork and the extent of cooperation across the health and social service interface. Based on the results of the document analysis, three ideal types for regulating interprofessional relations and skill mix in health care are delimited. For each ideal type, outcomes on service coordination and holistic service delivery are described.<br> <b>Conclusions:</b> Comparisons of interprofessional relations are necessary for proactive health human resource policies. The proposed ideal-typical framework provides the means for in-depth comparisons of interprofessional relations in the health care workforce beyond of what is possible with directly comparable, but generic performance indicators.en_US
dc.identifier.citationBMC Health Services Research 2016, 16(633)en_US
dc.identifier.cristinIDFRIDAID 1398555
dc.identifier.doi10.1186/s12913-016-1881-9
dc.identifier.urihttps://hdl.handle.net/10037/10123
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en_US
dc.subjectComparative health services researchen_US
dc.subjectInterprofessional relationsen_US
dc.subjectProfessional jurisdictionen_US
dc.subjectNursing educationen_US
dc.subjectProfessional autonomyen_US
dc.subjectInterdisciplinary teamworken_US
dc.subjectIdeal typeen_US
dc.subjectProfessional hierarchyen_US
dc.titleAn ideal-typical model for comparing interprofessional relations and skill mix in health careen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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