Evidence map›Paper›PMID 28435416›Full record

ArticleInternational journal of integrated care2016

Challenges in Achieving Collaboration in Clinical Practice: The Case of Norwegian Health Care.

Sissel Steihaug, Anne-Kari Johannessen, Marian Ådnanes, Bård Paulsen, Russell Mannion

Abstract read
In one paragraph

Article in International journal of integrated care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
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  6. Observational
  7. Article
  8. Psychometric Evaluation of the Patient-Experienced Continuity of Care Questionnaire (PECQ) Using Rasch Model.Health expectations : an international journal of public participation in health care and health policy · 2026
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  17. Delivering MOUD to the Underserved: How Can Pharmacies Really Help?Journal of studies on alcohol and drugs · 2024
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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.

Sissel SteihaugSenior Researcher, MD, PhD, SINTEF Technology and Society, P.O. Box 124, Blindern, N-0314 Oslo, Norway.
Anne-Kari JohannessenResearcher, Nurse, PhD, Institutt HEL, HF, Høgskolen i Oslo og Akershus, Studiested Kjeller, Pb 4, St. Olavs plass, 0130 Oslo, Norway and Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway.
Marian ÅdnanesReseach Manager, PhD, SINTEF Technology and Society, P.O. Box 4760, N-7465 Trondheim, Norway.
Bård PaulsenSenior Researcher, Political Scientist, SINTEF Technology and Society, P.O. Box 4760, N-7465 Trondheim, Norway.
Russell MannionProfessor of Health Systems, PhD, Health Services Management Centre, University of Birmingham, Park House, 40 Edgbaston Park Rd, Birmingham, B15 2RT, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis article summarizes and synthesizes the findings of four separate but inter-linked empirical projects which explored challenges of collaboration in the Norwegian health system from the perspectives of providers and patients. The results of the four projects are summarised in eight articles.

methodsThe eight articles constituted our empirical material. Meta-ethnography was used as a method to integrate, translate, and synthesize the themes and concepts contained in the articles in order to understand how challenges related to collaboration impact on clinical work.

resultsProviders' collaboration across all contexts was hampered by organizational and individual factors, including, differences in professional power, knowledge bases, and professional culture. The lack of appropriate collaboration between providers impeded clinical work. Mental health service users experienced fragmented services leading to insecurity and frustration. The lack of collaboration resulted in inadequate rehabilitation services and lengthened the institutional stay for older patients.

conclusionFocusing on the different perspectives and the inequality in power between patients and healthcare providers and between different providers might contribute to a better environment for achieving appropriate collaboration. Organizational systems need to be redesigned to better nurture collaborative relationships and information sharing and support integrated working between providers, health care professionals and patients.

Indexed as

clinical workintegrated careinter-professional collaborationNorwaypatient provider relationships

Identifiers

PMID28435416
PMCPMC5351059

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.