Dalarna University's logo and link to the university's website

du.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Analysis on personnel costs and working time for implementing a more person-centred care approach: a case study with embedded units in a Swedish region
University of Gothenburg, Gothenburg; .
Dalarna University, School of Health and Welfare, Medical Science. Karolinska Institute, Stockholm.ORCID iD: 0000-0003-0581-2895
Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Medical Science.ORCID iD: 0000-0003-3981-5525
Dalarna University, School of Health and Welfare, Caring Science/Nursing. University of Gothenburg, Gothenburg.
2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 10, article id e073829Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Our aim was to describe the time and costs used during the implementation of a more person-centred care (PCC) approach as part of ordinary practice.

DESIGN: A case study with embedded units.

SETTING: Region Dalarna, Sweden.

PARTICIPANTS: The Department for Development (DD) staff who provided a central support function in the implementation and six healthcare units: nephrology, two geriatric care and rehabilitation units, two psychiatry units and primary care.

INTERVENTIONS: More PCC.

PRIMARY AND SECONDARY OUTCOME MEASURES: Working days and related salary costs reported by categories indicating costs for implementation strategies, service delivery, and research/development costs.

RESULTS: The healthcare units logged on average 5.5 working days per staff member. In the healthcare units, 6%-57% of the time reported was used for implementation strategies, 40%-90% for service delivery and 2%-12% for research/development. Of the time reported by the DD, 88% was assigned to implementation strategies. Costs associated with reported time indicated 23% of costs for this implementation occurred in the DD. Using the budgeted cost, this proportion increased to 48%. The budget for the DD corresponded to SEK 2.30 per citizen per year and 0.009% of the total healthcare budget of the region.

CONCLUSIONS: The study found that a large part of resources used for this implementation of more PCC occurred in the DD, although at least half of the costs occurred in the healthcare units. Moreover, the cost of providing a central support function corresponds to a tiny proportion of the total health budget.

Place, publisher, year, edition, pages
2023. Vol. 13, no 10, article id e073829
Keywords [en]
HEALTH ECONOMICS, Health economics, Organisational development, Patient-Centered Care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:du-47116DOI: 10.1136/bmjopen-2023-073829ISI: 001085223600007PubMedID: 37821128Scopus ID: 2-s2.0-85174642171OAI: oai:DiVA.org:du-47116DiVA, id: diva2:1805656
Available from: 2023-10-18 Created: 2023-10-18 Last updated: 2023-11-17Bibliographically approved

Open Access in DiVA

fulltext(353 kB)35 downloads
File information
File name FULLTEXT01.pdfFile size 353 kBChecksum SHA-512
843d38947291a4b2e00fd7c298a91a2076031ebe21a20bff8c821f04f672632c85d78a0cf3ef6d8996bc688729647719b074be9df19db01c3c024a0353804e1d
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Tistad, MalinFridberg, HelenaWallin, Lars

Search in DiVA

By author/editor
Tistad, MalinFridberg, HelenaWallin, Lars
By organisation
Medical ScienceCare SciencesCaring Science/Nursing
In the same journal
BMJ Open
Health Care Service and Management, Health Policy and Services and Health Economy

Search outside of DiVA

GoogleGoogle Scholar
Total: 35 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 113 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf