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Kneck Å, Flink M, Frykholm O, et al. The Information Flow in a Healthcare Organisation with Integrated Units. Int J Integr Care. 2019;19(3):20doi: 10.5334/ijic.4192.
Kneck, �. �., Flink, M., Frykholm, O., Kirsebom, M., & Ekstedt, M. (2019). The Information Flow in a Healthcare Organisation with Integrated Units. International journal of integrated care, 19(3), 20. https://doi.org/10.5334/ijic.4192
Kneck, Åsa, et al. "The Information Flow in a Healthcare Organisation with Integrated Units." International journal of integrated care vol. 19,3 (2019): 20. doi: https://doi.org/10.5334/ijic.4192
Kneck Å, Flink M, Frykholm O, Kirsebom M, Ekstedt M. The Information Flow in a Healthcare Organisation with Integrated Units. Int J Integr Care. 2019 Sep 26;19(3):20. doi: 10.5334/ijic.4192. PMID: 31592046; PMCID: PMC6764182.
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Int J Integr Care. 2019 Sep 26;19(3):20. doi: 10.5334/ijic.4192.

The Information Flow in a Healthcare Organisation with Integrated Units.

International journal of integrated care

Åsa Kneck, Maria Flink, Oscar Frykholm, Marie Kirsebom, Mirjam Ekstedt

Affiliations

  1. Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Stockholm, SE.
  2. Division of Family medicine and Primary care, NVS, Karolinska Institutet, SE.
  3. Department of Learning, Informatics, Management and Ethics, Karolinska Institute, Stockholm, SE.
  4. Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Växjö, SE.

PMID: 31592046 PMCID: PMC6764182 DOI: 10.5334/ijic.4192

Abstract

INTRODUCTION: Integrated care is believed to provide support to patients with multiple long-term and complex conditions. Transparency in information delivery is key for shared decision-making, and co-production of care. This study aimed to explore information pathways within an integrated healthcare and social care organisation and describe how information continuity was delivered for an older patient with complex care needs.

METHODS: An explorative single-case study conducted in a Swedish healthcare organization where municipality and the county council have integrated their services. One focus group discussion and six individual interviews were conducted.

RESULTS: Information flow to partners in care was obstructed, with compensatory double documentation, complementary information channels, and information loss. A heavy burden was on the patient and relatives to keep track of and communicate information between different caregivers. Patients were expected to be active partners in their own care, but were largely excluded from the information flow.

DISCUSSION: Even integration of care organisations does not imply that integrated care is delivered at the sharp end of practice. An integrated electronic health record is needed to improve accessibility of care information from within all the organisations, facilitating handovers between professionals and levels of care, and involving patients in the information flow.

Copyright: © 2019 The Author(s).

Keywords: information continuity; integrated care; interoperability; multimorbidity; patient participation; patient safety

Conflict of interest statement

The authors have no competing interests to declare.

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