In the early 1990?s more and more companies of the Swedish public sector were exposed to competition, and this started the debate on how such actions might affect the business and even society.The first chapter examines how the public sector and especially health care, is financed and managed. We also explore what it means to be exposed to competition and find that there are many different ways of exposing the public sector to competition. The study examines dental care as an example of a market with both publicly and privately owned companies. The purpose of this paper is to explore how publicly and privately owned health care companies view their relationship with their consumers.

This thesis analyses the cost accounting system KPP and its use within the Swedish health care. KPP is designed to calculate and assign health care costs to individual patients. This would facilitate evaluations and comparisons of the costs for certain diagnosis, patient groups or clinics with a different mix of diagnosis. The study investigates the following questions: 1. Does the KPP-model theoretically work as a cost accounting tool for health care purposes? 2.

SammanfattningBakgrund: Våra matvanor grundläggs tidigt i livet. Med tanke på det rådande hälsoläget i Sverige och världen behöver långvarigt preventiva insatser sättas in i tidig ålder för att bekämpa utvecklingen av fetma. Salut-satsningen är ett exempel på en preventiv insats som syftar till att främja hälsa hos barn och ungdomar. Syfte: Att undersöka hur förstagångsmödrar upplever och uppfattar den information om hälsosamma matvanor som mödrahälsovården (MHV), barnavårdscentralen (BVC) och folktandvården ger inom Salut-satsningen. Metod: Kvalitativa semistrukturerade telefonintervjuer utfördes med 18 strategiskt utvalda förstagångsmödrar vars barn var i åldern ett till ett och ett halvt år.

Previous research and patient complaints to the Swedish Patient Support Committee shows that there is a lack of substance in the patient-nurse relationship. This may suggest that it can be difficult for health care to live up to health-care law which requires it to be of good quality, based on dignity and respect and designed so that the patient is an active participant and can make their own decisions when it comes to their health care. For a better understanding of what a dignified patient-nurse relationship is, this study aims to clarify what the patient values as good patient-nurse relationship and describe how they have experienced the patient-nurse relationship during their stay at an emergency care department. The study is a descriptive cross-sectional study with a quantitative approach, where the population consisted of patients who were cared for at an emergency care department in the County of Västmanland, Sweden during 2007. The sample consisted of 93 patients which were asked to answer a questionnaire.

The elderly care is an area of great importance to women. Women are more often in need of elderly care; they work with the service and provide a majority of the informal service. Research shows that managers? work-related prerequisites are significantly different between the male dominated technical administration and the female dominated care and educational administration. Studies also show that what the highest managerial organisation gives priority to, often permeate the whole organisation.

The progress of the health among the elderly has a major meaning for the needs of care, nursing and social services. The health of the elderly has improved but fall and fall accidents are a major problem. Acute diseases, activities and environment risks are often related to fall accidents. The aim of the study was to describe health care staffs? opinions about fall risk and fall prevention.

This is a report of our examination project in electronics carried out for Bofors Test Center in Karlskoga. The task was to construct an electronic devise for starting up different kinds of measuring systems in exact time during test sequences. The modules that are used today are old and unreliable. Our goal was to construct a prototype, which later on is supposed to be developed into a useful system..

The purpose of this thesis is to examine how investments are justified in the Swedish data center industry, with a focus on cooling equipment. This is achieved through semi-structured interviews with 20 different interviewees. These interviewees represent different facets of the industry and facilitate an understanding of which factors, such as: investment costs, operating costs, reliability, environmental impact and the influence of external and internal actors, come into play and to which degree they impact the investment decision-making process. The results show that primarily low operating cost in the form of low energy consumption is the driving factor when it comes to the procurement of new equipment. A lower environmental impact is a positive side-effect of lower energy consumption.

The intention of this study was to examine the interaction between authorities. More specifically it had a purpose to look at the ongoing cooperation between social workers and staff of special homes of closed institutional youth care. The sanction system for young offenders? reform of 1999 where young people between the ages of 15-17 who have committed serious crimes, can be sentenced to secure institutional treatment instead of prison, aims to counteract the harm which can result from a stay in prison. The social welfare board in the young person´s local authority and the national board of institutional care shall cooperate during the youth?s placement at the special home of closed institutional youth care.

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

From the day we are born, we slowly grow old and sooner or later most people will have to use geriatric care provided by the community. In the Swedish model, society is responsible for the geriatric care, so the elderly can live a dignified, meaningful and active life. Home help insert activity is designed to help elderly get their social needs satisfied in the form of, for example, being outdoors, walk and visit a friend or some other form of social interaction. The study's purpose is to study how older people use and perceive bet activation in the municipal home care. To find out how this was conducted five interviews with older people who have help from home care to insert activation was made.

De elektroniska marknadsplatsernas betydelse för affärstransaktioner världen över har ökat dramatiskt de senaste åren. Allt fler företag väljer att ta med sina befintliga kundkontakter eller skapa nya via dessa marknadsplatser. Dock finns det vissa problem med dessa, ofta webbaserade system, de har inte en tillfred- ställande grad av användbarhet respektive handlingsbarhet. Syftet med vår undersökning var att beskriva vilka aspekter av de olika perspek- tiven, användbarhet samt handlingsbarhet, som kan anses vara mer betydande än andra att ta hänsyn till vid utveckling av elektroniska B2B marknadsplatser. Användbarhet är ett perspektiv som behandlar aspekter som att systemet skall vara lätt att använda, lätt att lära, subjektivt tilltalande osv.

The purpose of this study was to examine how some young mothers, who previously have been in foster care or residential care, describe the way motherhood has affected their lives and identities. Narrative interviews were conducted with three teenage mothers and one mother aged 23. As tools for analyzing the narratives, theories about narrative psychology and how people present themselves through story-telling and language were used. The results of the study show that becoming a mother was life-changing in a positive way, according to the young mothers. They described how they, since becoming mothers, had become more mature and now lived less risk-full lives.

Background: Basic hygiene is an important measure to prevent healthcare associated infections, save patients? lives, and reduce economic costs for health care. Healthcare associated infections are a threat to patient safety. In community care persons who are the care takers are a risk group and nurses must make sure that basic hygiene procedures are followed.Method: Literature studies with descriptive design, article search in databases Cinahl and PubMed. The results found are based on twelve chosen articles.Aim: To describe factors related to adherence to basic hygiene and how nurses in community care can help to improve compliance with these procedures.Results: In the nursing staff and leadership in health care interest in and the understanding of basic hygiene is described as being of most importance.

Abstract          Background: End of life is difficult to establish in patients with dementia and many patients die due to complications related to the disease. To document that care are palliative in this group of patients is not common among nurses and physicians. This may depend on that the palliative course is extended and not similar to the palliative course common among patients with cancer. Aim: To describe how the registered staff in nursing homes document the care of persons with dementia in a late palliative phase. Method: A retrospective record study with a deductive approach.