Healthcare in Sweden are in need of a drastic change to meet the requirements of highly developed societies, and information technology is seen as an essential part to get there. However, the Swedish healthcare have to challenge their traditional innovation approaches as well. For example, it has become more common to engage patients in the innovation process through web-based platforms. We have been focusing on an approach called co-creation by studying a workshop, in which potential users and other stakeholders are cooperating creatively to come up with innovative solutions in order to improve healthcare practice. Our findings suggests that co-creation may increase the mutual understanding between different stakeholders, for example healthcare professionals and IT developers, enable horizontal learning through and outside the organization and also to raise concepts and actions that are responding to healthcare needs.

BakgrundSvensk sjukvård har idag bland de bästa behandlingsresultaten i Europa, men trots det förs diskussionen om sjukvården ofta i negativa ordalag. I ett försök att förbättra synen på verksamheten och bli mer effektiva har sjukvården i Sverige ofta använt sig av kommersiellamodeller, modellerna har dock behövt anpassas för att fungera i sjukvårdens miljö. En av de senaste kommersiella modellerna som nu införs i den svenska sjukvården är Lean Healthcare,som är sjukvårdens version av Toyotas produktionsfilosofi Lean Production. En stor del avtidigare forskning på området har behandlat Lean Production men lite finns att tillgå som handlar om Lean Healthcare. Den här studien är ett bidrag till att utöka kunskapen om Lean Healthcare i Sverige.SyfteSyftet med den här studien är att beskriva hur Lean-filosofin fungerar i den svenska sjukvården samt att göra en jämförelse mellan Lean Production och andra kommersiella modeller som tidigare har införts i den svenska sjukvården.GenomförandeMed hjälp av intervjuer på tre svenska sjukvårdsenheter har en fallstudie med fokus på Lean Production och Lean Healthcare genomförts.ResultatResultatet av studien visar att Lean Healthcare, i likhet med tidigare modeller, har krävt anpassningar för att fungera i sjukvårdens kontext.

This study aims to examine the effect the evaluation system used by the Stockholm County Council, has on how the healthcare providers themselves conduct the evaluation regarding their own operations. This is done through a qualitative case study of the evaluation systems of the Stockholm County Council and of four primary healthcare producers concerning one primary healthcare contract. The evaluation systems were analysed using Merchant and Ver der Stede's (2007) framework for different types of control. In order to give a more detailed picture this framework was complemented with different types of performance measurement. The evaluation that the Stockholm County Council conducts was found to have little influence on the providers own evaluation with the exception of the quality indicators that are rewarded with a monetary bonus..

This thesis investigates if privatization of the Swedish healthcare system influences our view on the meaning of equality. This system is based on the principle that all people are equals and that healthcare should be provided on the basis of need. I apply critical ideology analysis to investigate how our view of equality might change because of the evolvement of society. A critical view may be explained as an interest in exploring things that seem obvious to many. Important questions to answer are why equality is regarded as such a natural concept in the society and how healthcare is actually provided.

During a long period of time, rental doctors have created a vast debate in Sweden. Currently, there is a shortage of doctors working in Sweden and to guarantee the lawful right to healthcare of high quality the counties must hire doctors through employment agencies. There are different opinions about rental doctors, some thinks the temporary employment results in a negative work environment and furthermore puts the patients at risk. Other people consider the Swedish healthcare to not function without rental doctors.  The purpose of this essay is to investigate rental doctors through a legal perspective and how temporary employment actually affects the patients? security and the work environment in Sweden?s healthcare.

The store manager can make great benefits of having an eye on how the staff works towards the customer, because the personnel is an important tool when competing with other stores. This paper is focusing on the part that relates to the staff in the store, which is one of the key tools in the competition for customers after the customer made it to the store. Many stores have guidelines which the staff should follow when they meet with customers. If the staff is too tightly controlled by these guidelines, customers can perceive the first encounter with the staff as artificial and as if the genuine friendliness does not exist. It is important that the staff looks at the individual customer and treat every customer in a personal way and that the staff can see the customer?s needs.

With some help of a few interviews, with children, and some staff members, in two different schools, I hope to answer the question: if the picture of the operation, that the children and the staff are having, has some similarities, and I will try to compare these pictures with what some legal documents such as Lgr 11 and Kvalitet I Fritidshem is saying about daycare opera-tions? To be able to run a successful daycare center, is never an easy thing. The key to success is to make parties, like the staff, children and their parents to feel happiness, when it comes to things around and about the daycare center. The result shows that both the children and the staff are expressing a frustration around the daycare operation, because they feel that there being wrongly answered, by a higher authority. The children are frustrated of how the staff is answering them about different things and the staff is frustrated about how the headmasters are answering them.

The purpose of this work was to investigate the adherence to basic hygiene routines among staff and to investigate if there is any difference between the adherences in diverse professions. The purpose was also to study how staff rates their own adherence to current guidelines. Data for the study were collected through observations and questionnaires. Altogether 35 people were observed and 15 answered the questionnaire. Maximum adherence was found in the category of "hand disinfection after patient contact" with a score of 96%.

Swedish healthcare has experienced increased economic pressure during the last decades and organizations have faced many changes. Managers and their roles in organizations have also been affected by the changes. Traditionally, managers in the healthcare sector are highly specialized doctors with a strong medical background. In the thesis, we study a big private healthcare company with an ambition to lead the development in the sector. In order to accomplish its goal, the company is trying to change the organization of managers.

Swedish healthcare is in continuous need of cost savings and efficiency improvements in order to meet the increased demand for care. The theories of lean, developed from the industry, are applied more frequently on healthcare systems to increase effectiveness and reduce waiting times in patient processes. However, some processes seem to be more successful in their lean implementation than others. In this thesis, factors influencing flow efficiency in lean healthcare are examined. Through interviews with the top executive board at Capio St Göran's hospital, data is collected in order to analyze reasons for success.

The leadership within healthcare is a constantly discussed subject. The discussion today is evolving around the physicians' lack of strive towards becoming managers within healthcare organizations. Furthermore the leadership that the nurse practice when becoming manager is on the other hand not discussed. The purpose of this study is to describe important factors of the leadership the nurse practice upon physicians in a healthcare organization as well as to explain why that is. To fulfill this purpose, we have used a qualitative case study research design including a private Swedish healthcare company.

BACKGROUND: A telephone nurse is a nurse that during most of its working time is engaged in healthcare advice via the telephone. The advent of the telephone healthcare advice has probably meant that individuals, who initially wouldn?t have sought help, if they needed to meet healthcare providers face to face, now actually have the confidence to turn to healthcare. For telephone healthcare advice is professional care to identify, assess and advise on individuals? reactions to actual or potential health problems.

During 2001-2002 a prototype, IMIS (Integrated Mobile Information System) was developed at BTH (Blekinge University of Technology) to demonstrate how mobile IT-systems can be used in healthcare. The prototype was based on the activity theory of Engeström. An ongoing project started in spring 2003. The purpose of the project is further development of IMIS with special focus in the diabetes healthcare. Participants in the project are scientists and students at BTH, ALMI Företagspartner, Blekinge FoU-enhet, Barndiabetesförbundet Blekinge, Blekinge Diabetesförening, Vårdcentralen Ronneby and Vårdcentralen Sölvesborg.

The purpose of this essay was to study how school welfare officers cooperate with other school staff, regarding children in vulnerable positions, and how the school staff apply their obligation to report to the social services if they have concerns regarding children at risk, according to the law of social service, SoL.We have especially focused on questions concerning cooperation, both between the school staff, and between the school and the social services. We also wanted to identify some of the restraining factors and dilemmas that could come up during the process of reporting children at risk to the social services. The study was based on qualitative interviews with ten school welfare officers from the same municipality.Our conclusions of our study are that there exists a well-developed cooperation between several organizational levels, including the school welfare officers, other professions in the schools and the social services. There were though opinions among the school welfare officers that they wanted to increase their professional claims in relation to the school nurse, due to their larger competence in talking to children. Regarding the formal responsibility to report to the social services, a majority of the school welfare officers felt they had access to the support they needed from both their principal and the students healthcare-team, and that they were not left alone in the process..

The digitization of patient data and medical records used by the healthcare-industry in Sweden is rapidly developing. However; developing and changing things in this field is not an easy task because of the circumstances surrounding it. Digital systems intended to process, and hold, sensitive personal data, such as medical journals, must be developed with laws, confidentiality, integrity and availability in mind to secure that none of this data gets compromised.A complicating factor in regards to this is the fast rate of development within IT in contrast to the much slower bureaucratic process of the justice system. This means that laws and regulations oftentimes aren?t up to date with the newest available technology.With the purpose of establishing set regulations on how patient data should be properly handled the Swedish government enacted the Patient Data Act (sv.