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Cooperation between gatekeepers in sickness insurance - the perspective of social insurance officers. A qualitative study.

Thorstensson, Carina LU ; Mathiasson, Jenny; Arvidsson, Barbro; Heide, Anders and Petersson, Ingemar LU (2008) In BMC Health Services Research 8.
Abstract
ABSTRACT: BACKGROUND: Objective was to describe variations in how social insurance officers conceive the cooperation with the health care in their daily work with sick leave. METHODS: Fifteen social insurance officers (SIOs) working with administration of sickness benefits were interviewed. They were purposefully recruited to represent different parts of the social insurance office organization, different ages, gender, education, and work experience. The interviews were audio-recorded, transcribed verbatim and analyzed using phenomenographic approach. RESULTS: 11 women and 4 men, aged 25-65, with a work experience ranging from 1-40 years were interviewed. Three descriptive categories embracing eleven subcategories emerged: 1) Communication... (More)
ABSTRACT: BACKGROUND: Objective was to describe variations in how social insurance officers conceive the cooperation with the health care in their daily work with sick leave. METHODS: Fifteen social insurance officers (SIOs) working with administration of sickness benefits were interviewed. They were purposefully recruited to represent different parts of the social insurance office organization, different ages, gender, education, and work experience. The interviews were audio-recorded, transcribed verbatim and analyzed using phenomenographic approach. RESULTS: 11 women and 4 men, aged 25-65, with a work experience ranging from 1-40 years were interviewed. Three descriptive categories embracing eleven subcategories emerged: 1) Communication channels included three subcategories; to obtain medical opinions, to hold meetings with actors involved, to experience support functions; 2) Organizational conditions included five subcategories; to experience lack of time, to experience problems of availability, to experience lack of continuity, to experience unclear responsibility, to experience ongoing change; 3) Attitudes included three subcategories; to conceive the attitudes of the physicians, to conceive the attitudes of the patients, to conceive the attitudes of the SIOs. CONCLUSION: Personal communication was described as crucial to ensure a more efficient working process. The personal contact was obstructed mainly by issues related to work load, lack of continuity, and reorganisations. By enhancing and enabling personal contact between SIOs and health care professionals, the waiting times for the sick-listed might be shortened, resulting in shorter periods of sick-leave. Issues around collaboration and communication between gatekeepers need to be recognized in the ongoing work with new guidelines and education in insurance medicine. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Health Services Research
volume
8
publisher
BioMed Central
external identifiers
  • wos:000261240800002
  • pmid:18992160
  • scopus:56649108111
ISSN
1472-6963
DOI
10.1186/1472-6963-8-231
language
English
LU publication?
yes
id
e75eba50-d579-4c7b-afcd-47609a222fd7 (old id 1271670)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18992160?dopt=Abstract
date added to LUP
2009-02-06 13:30:03
date last changed
2017-01-01 06:27:51
@article{e75eba50-d579-4c7b-afcd-47609a222fd7,
  abstract     = {ABSTRACT: BACKGROUND: Objective was to describe variations in how social insurance officers conceive the cooperation with the health care in their daily work with sick leave. METHODS: Fifteen social insurance officers (SIOs) working with administration of sickness benefits were interviewed. They were purposefully recruited to represent different parts of the social insurance office organization, different ages, gender, education, and work experience. The interviews were audio-recorded, transcribed verbatim and analyzed using phenomenographic approach. RESULTS: 11 women and 4 men, aged 25-65, with a work experience ranging from 1-40 years were interviewed. Three descriptive categories embracing eleven subcategories emerged: 1) Communication channels included three subcategories; to obtain medical opinions, to hold meetings with actors involved, to experience support functions; 2) Organizational conditions included five subcategories; to experience lack of time, to experience problems of availability, to experience lack of continuity, to experience unclear responsibility, to experience ongoing change; 3) Attitudes included three subcategories; to conceive the attitudes of the physicians, to conceive the attitudes of the patients, to conceive the attitudes of the SIOs. CONCLUSION: Personal communication was described as crucial to ensure a more efficient working process. The personal contact was obstructed mainly by issues related to work load, lack of continuity, and reorganisations. By enhancing and enabling personal contact between SIOs and health care professionals, the waiting times for the sick-listed might be shortened, resulting in shorter periods of sick-leave. Issues around collaboration and communication between gatekeepers need to be recognized in the ongoing work with new guidelines and education in insurance medicine.},
  articleno    = {231},
  author       = {Thorstensson, Carina and Mathiasson, Jenny and Arvidsson, Barbro and Heide, Anders and Petersson, Ingemar},
  issn         = {1472-6963},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Health Services Research},
  title        = {Cooperation between gatekeepers in sickness insurance - the perspective of social insurance officers. A qualitative study.},
  url          = {http://dx.doi.org/10.1186/1472-6963-8-231},
  volume       = {8},
  year         = {2008},
}