Växeln, hallå hallå? - samordning och integrerad vård för äldre

Abstract

This paper reports the findings of a case study of the creation of a one-stop callcenter. The callcenter helped older people living in the community by forwarding requests, giving advice on whom to call and informing about the welfare system. Collaboration was created among seven different kinds of services within the health and care system. The study uses contingency theory to analyse of the logic underlying the division of labour in the system involved. Models describing different kinds of integration are also used to analyse the character of integrated care that was created. The consequences for the users and the stakeholders are described. The integration achieved was mostly “linkage” and to some extent “coordination”, through the use of contracting. In this way the service integrated a small part of the services involved – access – aimed at a large segment of the population; but for mostly routine and nonurgent needs.