Are joint health plans effective for coordination of health services? An analysis based on theory and danish pre-reform results

TY - JOUR

T1 - Are joint health plans effective for coordination of health services? An analysis based on theory and danish pre-reform results

AU - Strandberg-Larsen, Martin

AU - Nielsen, Mikkel Bernt

AU - Krasnik, Allan

PY - 2007/1/1

Y1 - 2007/1/1

N2 - Background: Since 1994 formal health plans have been used for coordination of health care services between the regional and local level in Denmark. From 2007 a substantial reform has changed the administrative boundaries of the system and a new tool for coordination has been introduced. Purpose: To assess the use of the pre-reform health plans as a tool for strengthening coordination, quality and preventive efforts between the regional and local level of health care. Methods: A survey addressed to: all counties (n=15), all municipalities (n=271) and a randomised selected sample of general practitioners (n=700). Results: The stakeholders at the administrative level agree that health plans have not been effective as a tool for coordination. The development of health plans are dominated by the regional level. At the functional level 27 percent of the general practitioners are not familiar with health plans. Among those familiar with health plans 61 percent report that health plans influence their work to only a lesser degree or not at all. Conclusion: Joint health planning is needed to achieve coordination of care. Efforts must be made to overcome barriers hampering efficient whole system planning. Active policies emphasising the necessity of health planning, despite involved cost, are warranted to insure delivery of care that benefits the health of the population.

AB - Background: Since 1994 formal health plans have been used for coordination of health care services between the regional and local level in Denmark. From 2007 a substantial reform has changed the administrative boundaries of the system and a new tool for coordination has been introduced. Purpose: To assess the use of the pre-reform health plans as a tool for strengthening coordination, quality and preventive efforts between the regional and local level of health care. Methods: A survey addressed to: all counties (n=15), all municipalities (n=271) and a randomised selected sample of general practitioners (n=700). Results: The stakeholders at the administrative level agree that health plans have not been effective as a tool for coordination. The development of health plans are dominated by the regional level. At the functional level 27 percent of the general practitioners are not familiar with health plans. Among those familiar with health plans 61 percent report that health plans influence their work to only a lesser degree or not at all. Conclusion: Joint health planning is needed to achieve coordination of care. Efforts must be made to overcome barriers hampering efficient whole system planning. Active policies emphasising the necessity of health planning, despite involved cost, are warranted to insure delivery of care that benefits the health of the population.

KW - Coordinated care

KW - Denmark

KW - Health planning

KW - Integrated care

KW - National health system

UR - http://www.scopus.com/inward/record.url?scp=84983108061&partnerID=8YFLogxK

U2 - 10.5334/ijic.220

DO - 10.5334/ijic.220

M3 - Journal article

AN - SCOPUS:84983108061

SN - 1568-4156

VL - 7

JO - International Journal of Integrated Care

JF - International Journal of Integrated Care

IS - 4

ER -