• Continuity of care for patients with long-term complex needs - implications for clinical hospital practice. 

      Høyem, Audhild (Doctoral thesis; Doktorgradsavhandling, 2019-05-20)
      The background for this thesis is lack of knowledge that covers the broader perspective of development, implementation, and evaluation of continuity of care-solutions for persons with diverse and complex needs in hospitals and across health services. The aim was therefore to investigate implications for hospital practices related to realizing continuity of care for patients with long-term complex ...
    • ICF i rehabilitering : forståelse og bruk 

      Høyem, Audhild (Master thesis; Mastergradsoppgave, 2007-10)
      ”Internasjonal klassifikasjon av funksjon, funksjonshemming og helse” (ICF) kan forstås og brukes på ulike måter i rehabilitering. Dette er en kvalitativ studie med både en teoretisk og en empirisk tilnærming. Den har et bredt fokus på ICF der mange og ulike problemstillinger løftes fram. I oppgavens første del diskuteres begrepene rehabilitering, funksjonshemming og klassifisering. Så følger en ...
    • Keeping one step ahead: A qualitative study among Norwegian health-care providers in hospitals involved in care coordination for patients with complex needs 

      Høyem, Audhild; Gammon, Barbara Deede; Berntsen, Gro Karine Rosvold; Steinsbekk, Aslak (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-04-03)
      <p><i>Introduction</i>: Various efforts aim to enhance continuity of care for patients with long-term health-care needs. Since 2012, Norwegian hospitals are mandated to appoint individual care coordinators for patients with complex needs to ensure continuity in the care pathway. New roles must meld with current practice. Implementation has been slow. This study investigates current care coordination ...
    • Koordinatorordning med kontinuitet som mål. Diskusjon av ordningen koordinator i spesialisthelsetjenesten i lys av forskning omkring continuity of care 

      Høyem, Audhild (Chapter; Bokkapittel, 2015)
      Pasienter og brukere med langvarige behov for ulike helse- og omsorgstjenester rapporterer ofte om manglende sammenheng i tjenestene, usikkerhet omkring hva som skal skje videre og hvem som tar ansvaret for hva. En stadig økende spesialisering har ført til at spesialisthelsetjenestene er blitt mer oppdelt, og at ansvarsområdet for den enkelte enhet snevres inn. Liggetiden i sykehusene har blitt ...
    • A person-centered integrated care quality framework, based on a qualitative study of patients' evaluation of care in light of chronic care ideals 

      Berntsen, Gro Karine Rosvold; Høyem, Audhild; Lettrem, Idar; Ruland, Cornelia; Rumpsfeld, Markus; Gammon, Barbara Deede (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-06-20)
      <p><i>Background</i>: Person-Centered Integrated Care (PC-IC) is believed to improve outcomes and experience for persons with multiple long-term and complex conditions. No broad consensus exists regarding how to capture the patient-experienced quality of PC-IC. Most PC-IC evaluation tools focus on care events or care in general. Building on others’ and our previous work, we outlined a 4-stage ...
    • Policies Make Coherent Care Pathways a Personal Responsibility for Clinicians: A Discourse Analysis of Policy Documents about Coordinators in Hospitals 

      Høyem, Audhild; Gammon, Barbara Deede; Berntsen, Gro Karine Rosvold; Steinsbekk, Aslak (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-07-10)
      <p><i>Introduction</i>: In response to increase of patients with complex conditions, policies prescribe measures for improving continuity of care. This study investigates policies introducing coordinator roles in Norwegian hospitals that have proven challenging to implement.</p> <p><i>Methods</i>: This qualitative study of policy documents employed a discourse analysis inspired by Carol Bacchi’s ...
    • A quality indicator set for use in rehabilitation team care of people with rheumatic and musculoskeletal diseases; development and pilot testing 

      Johansen, Inger; Klokkerud, Mari; Anke, Audny; Børke, Janne-Birgitte; Glott, Thomas; Hauglie, Uno; Høyem, Audhild; Klovning, Atle; Lande, Karin Anna; Larsen, Mona; Nordvik, Jan Egil; Wigers, Sigrid Hørven; Øyeflaten, Irene Larsen; Hagen, Kåre Birger; Kjeken, Ingvild (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-04-29)
      <p><i>Background - </i>Systems for monitoring effectiveness and quality of rehabilitation services across health care levels are needed. The purpose of this study was to develop and pilot test a quality indicator set for rehabilitation of rheumatic and musculoskeletal diseases. <p><i>Methods - </i>The set was developed according to the Rand/UCLA Appropriateness Method, which integrates evidence ...