Abstract
Brugerinddragelse i det danske sundhedsvæsen står højt på den politiske dagsorden, men det er stadig en udfordring at implementere visionen i klinisk praksis. Ledelse af brugerinddragelse bliver aktuelt udpeget som en central nøgle til at føre visionen ud i livet. Samtidig er der kun relativt lidt forskning om ledelse af brugerinddragelse i sundhedsvæsenet og på det empiriske plan er det uklart, hvad det er lederne skal implementere. Artiklen identificerer syv forskellige italesatte mål med brugerinddragelse, hvoraf nogle potentielt kan være i konflikt med hinanden. Herudover peges der på, at brugerinddragelse skal implementeres i en verden, hvor der allerede er en række andre mål tilstede. En central ledelsesudfordring er derfor, at nogle af målene med brugerinddragelse forudsætter nye måder at organisere ikke bare arbejdet og kompetencer på, men også relationer til patienter og pårørende. En væsentlig opgave i ledelse af brugerinddragelse vil derfor være at fremme en gentænkning af de etablerede roller og identiteter i sundhedsvæsenet. Artiklen opstiller tre forskellige inddragelsesmodeller, der hver organiserer relationer mellem sundhedsprofessionelle og sundhedsvæsenets brugere på forskellige måder.
Artiklen bygger dels på en gennemgang af dansk og international litteratur og policy dokumenter, dels på en empirisk best practice undersøgelse af ledelse af brugerinddragelse, som i perioden 2012-2013 blev gennemført på tre danske hospitalsafdelinger.
How to lead patient involvement? Goals and models that organize relations
Patient involvement in the health services in Denmark is high on the political agenda, though continues to be a challenge to implement. It is increasingly said that leadership is crucial to the implementation process. However, research into the role of leaders in patient involvement in the health care sector is sparse, and on the empirical level it is still unclear what the leaders are to implement. This article identifies seven different goals that have been enacted in the literature and policy papers, some of which potentially conflict with each other. It is further pointed out that patient involvement is to be implemented into a world in which a variety of other goals already exist. A major leadership challenge is therefore that some of the goals with patient involvement require new ways of organizing not just work practices and competencies but also relations with users. A key leadership task in management of patient involvement is therefore to reinvent established roles and identities in the health care sector. The article puts forward three models of involvement, which organize relations between health care professionals and health care users in various ways.
This article is based on existing Danish and international literature and policy documents on patient involvement, and on an empirical investigation of how patient involvement is implemented by clinical leaders, which we carried out in 2012-2013 in three Danish hospital wards identified as best practice cases.
Artiklen bygger dels på en gennemgang af dansk og international litteratur og policy dokumenter, dels på en empirisk best practice undersøgelse af ledelse af brugerinddragelse, som i perioden 2012-2013 blev gennemført på tre danske hospitalsafdelinger.
How to lead patient involvement? Goals and models that organize relations
Patient involvement in the health services in Denmark is high on the political agenda, though continues to be a challenge to implement. It is increasingly said that leadership is crucial to the implementation process. However, research into the role of leaders in patient involvement in the health care sector is sparse, and on the empirical level it is still unclear what the leaders are to implement. This article identifies seven different goals that have been enacted in the literature and policy papers, some of which potentially conflict with each other. It is further pointed out that patient involvement is to be implemented into a world in which a variety of other goals already exist. A major leadership challenge is therefore that some of the goals with patient involvement require new ways of organizing not just work practices and competencies but also relations with users. A key leadership task in management of patient involvement is therefore to reinvent established roles and identities in the health care sector. The article puts forward three models of involvement, which organize relations between health care professionals and health care users in various ways.
This article is based on existing Danish and international literature and policy documents on patient involvement, and on an empirical investigation of how patient involvement is implemented by clinical leaders, which we carried out in 2012-2013 in three Danish hospital wards identified as best practice cases.
| Original language | Danish |
|---|---|
| Journal | Tidsskrift for forskning i sygdom og samfund |
| Issue number | 22 |
| Pages (from-to) | 103-133 |
| Number of pages | 31 |
| ISSN | 1604-3405 |
| Publication status | Published - Aug 2015 |