Lung cancer is a disease which patients experience stigma in society and in care. This is because lung cancer is often seen as a self-inflicted disease. The stigma surrounding lung cancer is due to the strong relationship with smoking and have been shown to have a negative impact on the perceived health. The purpose of this study was to illuminate experiences of stigma for patients with lung cancer. The literature review was based on 11 scientific articles.

Denna uppsats ämnar förklara och skapa förståelse för förutsättningar till Lean Healthcare, den metod för effektivisering som sjukvården anammat för att utveckla och förändra de traditionsenliga verksamhetsstrategier som länge styrt sjukvårdens arbetssätt och processer. Genom att identifiera vilka egenskaper som bör stimuleras hos framtida arbetskraft för att skapa de förutsättningar som krävs för att vidmakthålla Lean Healthcare som en långsiktig effektiviseringsmetod bidrar denna studie med information som är behövlig för att ihärdigt lyckas med Lean Healthcare.De svårigheter som påvisats vid implementeringen av Lean Healthcare kan från befintlig forskning härledas till en kollision mellan den organisationskultur som förespråkas inom Lean, ursprungskonceptet till Lean Healthcare och den kulturella kontext som finns inom befintlig organisationskultur där Lean implementeras. Denna kollision påvisas genom en avsaknad av ihärdighet inom organisationerna som implementerat Lean då befintlig organisationskultur och verksamhetsstrategi motsätter sig de arbetsprocesser och det arbetssättet som förespråkas inom Lean-filosofin. Då många sjukhus i Sverige redan implementerat, eller är under omstrukturering till att implementera, Lean Healthcare ämnar denna uppsats undersöka hur framtida arbetskraft förhåller sig till det arbetssätt som förespråkas inom sjukvården.Utifrån en positivistisk kunskapssyn och ett deduktivt angreppssätt genomfördes en kvantitativ studie där arbetssättet och lärandet undersöktes hos en grupp studenter inom sjukvårdsprogrammen vid Umeå universitet. Arbetssättet och lärandet undersöktes för att kunna urskilja värderingar och beteenden som kunde härledas till att förutsäga utfallet av en integration mellan ny arbetskraft och befintlig organisationskultur inom sjukvården.Studiens resultat visar att arbete inom team innefattar karaktärsdrag hos framtida arbetskraft som behöver stärkas vilket främst bör göras genom att stimulera befintliga och kompatibla egenskaper med Lean Healthcare, så som beslutstagande och förmågan att ta an en ledarroll.

Citizens? freedom of choice has been a subject of debate in Sweden for over 30 years. This study focuses on decision making processes among patients within the Swedish healthcare system. The main conclusions are that in contrast to how patients? freedom of choice is described within governmental bills and governmental inquires and reports, patients are not following the steps included in the rational model of decision making.

How is research and science being used in political debate? An idea analysis of the debate about försäkringsmedicinskt beslutsstöd (decision tool in healthcare security)This is a case study on different types of research use (utilization) The aim of this paper is to examine how the politicians make use of expertise and research in the parliamentary debate surrounding the decision tool in healthcare security (försäkringsmedicinskt beslutsstöd). The aim is also to find out to what extent different types of research use are present in this debate. In this case study the qualitative method of idea analysis is being used on the empirical material. The tool of analysis is based upon the theories of research use by Amara et al.

This paper aims to explore the reception in Sweden of the work and ideas of neuroscientist Antonio R Damasio, expressed in his four published books. The material used is mainly articled and reviews published in Sweden between 1995 and 2011 regarding Damasio?s books. To analyze the reception, paradigm theories by Kuhn, and Bourdieu?s ideas regarding field, habitus and capital has been used.

Background: A group severely affected by health issues, the experiences of homeless alcohol and drug abusers in the coverage of their medical care needs is not satisfactory. Aim: The aim of the study is to explore which factors experienced by homeless alcohol and drug abusers in Uppsala in regards to their living situation affected their health, their perception of access to healthcare, the character of treatment received and coping strategies used outside of the healthcare system. Method: Nine people who had experienced both homelessness and substance abuse problem were recruited for the study during their visit to Stadsmissionens facilities for the homeless. Data was collected through qualitative, semi-structured interviews including two women and seven men. Data was analyzed using qualitative content analysis according to Giorgi modified by Malterud.Results: Among homeless substance abusers interviewed experiences of unwelcoming and prejudiced healthcare were described.

Background: Human interaction by touch plays a central role for our health and well being throughout life. When people touch each other our bodies release a hormone called oxytocin into the bloodstream, this gives the body a soothing effect. Touching on the other hand can be perceived as unpleasant if it is not in accordance with the patient?s norm or wishes. From biblical times and through to today human touch plays a central part of nursing.

International trade in services has increased over the past 30 years as a result of progress in information and communication technology, increased focus on services from the manufacturing sector and the establishment of trade associations.The international market for healthcare services, also referred to as medical tourism, is growing more and more. Patients increasingly seeking treatment at other countries healthcare systems because of long queues within their own country or because it exists better prices for the same care abroad. However, this type of service exports occurs at a limited extent in Sweden.The purpose of this study is to highlight and analyze the conditions for Swedish service companies to export healthcare services. This, includes the challenges and opportunities that exist to expand the exports of these services.The approach for this study has been in the form of interviews with two market actors and written responses, from the same interview guide, with three market actors. These market participants are the so-called Care companies which export healthcare services in various counties, and the membership organization Swecare who work with export promotion activities for its members in the Swedish healthcare sector.

ABSTRACTMy degree project has resulted in the improvement of the guidance in the dental center?s entrance. The patients will now find it easier to understand and find the environment?s various functions, which is the reception, registration, payment, and waiting rooms. Norrbottens läns landsting has a concept ?hälsofrämjande väntrum? that provides guidelines for how they want their patients to experience their waiting rooms.

Syfte: Syftet med uppsatsen är att analysera vilka faktorer som möjliggör och hindrar innovation bland sköterskor inom Lean Healthcare på Ortopeden 12, USiL. Metod: Studien genomförs i form av en kvalitativ fallstudie med iterativ ansats. Teoretiska perspektiv: Studien använder sig av vanligt förekommande teorier kopplade till innovation. Cultural Web används för att analysera avdelningens paradigm som jämförs med förutsättningarna för innovation. Teorier som tar upp olika aspekter som kan påverka innovation tas också upp.

The aim with the study is to find key factors relating to internal marketing and to improve the process between the operating organization and its customers. A qualitative study is carried out within an organization active in the Swedish healthcare. The qualitative approach is carried out by collecting empirical data through observations, personal interviews and group interviews.The Physiotherapy Clinic at the Karolinska University Hospital is in the focus of the empirical study. The study locates existing differences in perceptions and comes up with recommendations for actions to improve the process of organisations within the Swedish healthcare and their customers. The study's results are that internal marketing can bring a lot to service-selling organizations and that the organizations internal conditions are as important as the external ones.Communication appears to be a key factor for an organization that has applied internal marketing.

The main purpose of this essay is to study the role of documentation in Swedish health care today and the consequences of the augmentations in paper work that have taken place during the last couple of decades. The method used in this study is interviews with health care personnel.The following questions are treated:-       What kind of documentation has increased in Swedish health care?-       How is the patient/health care professionals affected?-       How is the work of the health care professionals affected?The conclusion of the essay is that the increasing amount of time spent on documentation that for much part has never been performed before, (such as risk analyses, statistics and writing much more thorough charts), has consequently left very little time for actual patient care. The research also showed that faith in health care professionals has significantly decreased and that one of the major reasons for increased documenting is the anticipation of and therefore protection against potential complaints. Finally there seems to be a greater focus on being service-minded rather than on providing quality health care..

The population of asylum seekers puts new challenges on the Swedish health care since their difficulties are complex; having both atraumatic background and a continuing worry about the asylum process.This study aims at investigating how health care professionals working with asylum seekers are affected emotionally using the theoretical concepts of empathy, compassion fatigue and compassion satisfaction. Nine qualitative interviews with health care professionals were conducted and the material was analyse dusing thematic analysis. Results were deductively found in thematerial, using the asylum process itself along with the concepts of empathy, compassion fatigue and compassion satisfaction as themes. Previous findings regarding empathy and its relations to compassion fatigue and compassion satisfaction were confirmed. This was furhter developed in this study through its focus on health care professionals working with asylum seekers..

The discrepancy in the rights for healthcare between undocumented migrants and the citizen in Sweden is a prerequisite for the existence of Läkarkliniken. Because of the chosen patient group the clinic stands outside the regulations from the National Board of Health and Welfare. The aim of this study was, from an institutional perspective, to investigate how such a unique player is designed and where the influences to the design origin from. The task was conducted thorough a qualitative case study with base in depth interviews. High levels of isomorphism were observed between Läkarkliniken and the general healthcare, however differences were seen as well.

Background: Patients with leg ulcer suffers often of woundpain. Healthcare professionals will strive after having knowledge and understanding for how woundpain influences the patient's quality of life. Aim: The aim is to elucidate the patient's experiences of pain at venous leg ulcer and the effects on their daily life. Method: The procedure has been a systematic literature overview with a systematic search in different databases. The search resulted in nine scientific articles.