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Learning through networking in healthcare and welfare: The use of a breakthrough collaborative in the Swedish context
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.ORCID iD: 0000-0003-0409-1985
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. CHILD.ORCID iD: 0000-0002-0156-6677
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID iD: 0000-0003-1176-8173
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. The Göteborg Region Association of Local Authorities, Gothenburg, Sweden.ORCID iD: 0000-0003-1728-9763
2017 (English)In: International Journal of Healthcare Management, ISSN 2047-9700, E-ISSN 2047-9719Article in journal (Refereed) Epub ahead of print
Abstract [en]

Breakthrough Collaborative (BC) aims at learning through networking, mainly at micro level, and is used as a tool to improve care and welfare organizations. The aim of this study was to explore and illuminate the challenges when applying BC model at meso and macro level. In 2010, the Swedish Health and Medical Services Act stated the responsibility of healthcare professionals to consider children’s needs as relatives. This study uses an interactive collaborative research model. To support healthcare organizations in the implementation of the regulation, county councils/regions in Sweden were invited to take part in a BC during 2015. Six teams from different county councils/regions participated. Team members were interviewed several times during the project time. Data were analyzed with an explorative and descriptive qualitative content analysis. The result illuminates the challenges faced when applying BC at meso and macro level. Most challenges concern preparation, support structures and system connections. There are similarities with the challenges met at micro level when BC is used at meso and macro level. But it seems even more important to consider how the team is constituted at meso and macro level to make use of the learnings and achieve long-term impact in the home organization.

Place, publisher, year, edition, pages
Maney Publishing, 2017.
Keywords [en]
Breakthrough collaborative, children as relatives, healthcare improvement, interactive research, meso and macro level perspectives
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-37878DOI: 10.1080/20479700.2017.1401287Scopus ID: 2-s2.0-85033704501OAI: oai:DiVA.org:hj-37878DiVA, id: diva2:1156686
Available from: 2017-11-14 Created: 2017-11-14 Last updated: 2017-12-14

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Andersson, Ann-ChristineGolsäter, MarieAndersson Gäre, Boel

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Andersson, Ann-ChristineGolsäter, MarieAndersson Gäre, BoelMelke, Anna
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International Journal of Healthcare Management
Health Care Service and Management, Health Policy and Services and Health Economy

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