Evidence map›Paper›PMID 21637705›Full record

ArticleInternational journal of integrated care2011

Integrated care in Norway: the state of affairs years after regulation by law.

Jorunn Bjerkan, Marie Richter, Anders Grimsmo, Ragnhild Hellesø, Jytte Brender

Abstract read
In one paragraph

Article in International journal of integrated care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Integration of care systems in Portugal: anatomy of recent reforms.International journal of integrated care · 2014
    Article
  14. Article
  15. Promoting coordination in Norwegian health care.International journal of integrated care · 2011
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jorunn BjerkanNorwegian Centre of Electronic Health Records (NSEP), Faculty of Medicine, Norwegian University of Science and Technology, Medisinsk teknisk forskningssenter [Research Centre of Medical Technology], NO-7489 Trondheim, Norway.
Marie Richter
Anders Grimsmo
Ragnhild Hellesø
Jytte Brender

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA mandatory multidisciplinary plan for individual care, the 'Individual care Plan', was introduced by law in Norway in 2001. The regulation was established to meet the need for improved efficiency and quality of health and social services, and to increase patient involvement. The plan was intended for patients with long-term and complex needs for coordinated care. The aim of this study was to elaborate on knowledge of such planning processes in Norwegian municipalities.

methodA piloted questionnaire was sent to 92 randomly selected municipalities in 2005-2006, addressing local organization and participation in the work with individual care plans. Local political governance, size of the population, funds available for health care, and problems related to living conditions were indicators for analysing the extent to which the individual care plan was used five years after the regulation was introduced.

resultsOur results showed that 0.5% as opposed to an expected 3% of the population had an individual care plan. This was independent of the political, social and financial situation in the municipalities or the way the planning process had been carried out. The planning process was mostly taken care of by local health and social care professionals, rather than by hospital staff and general practitioners. DISCUSSION AND

conclusionThe low number of care plans and the oblique responsibility among professionals for planning showed that the objectives of the national initiative had not been achieved. More research is needed to determine the reasons for this lack of success and to contribute to solutions for improved multidisciplinary cooperation.

Indexed as

health planninghealth policyindividual care planpatient care managementpatient centred careprimary health care

Identifiers

PMID21637705
PMCPMC3107091

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.