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.

Elderly couples have a right to live together. On June 1st 2006 the Swedish government extended couples? rights, granting special consideration to elderly partners to enable them to receive care in the same home. But what happens if only one of them is eligible for care? This paper has studied how elderly couples were affected in situations where one partner was unable to continue living at home, and what measures could be taken to improve their situation.

The purpose of this study was to understand what the care recipients considering as care quality in their long-term eldercare. Our intention has been to contribute a bit to the development of the care work. Previous studies show that user surveys are carried out regularly but there is very few studies that are based on care recipients own opinions and experiences. The main questions in the study have been to examine what is considered as good elder care from a user perspective. Even to understand the characteristics of a good meeting with the care staff and also examine how the elder care in Nybro municipality can improve.

AbstractFörfattare ? Malin Andersson och Slaven MarasTitel ? Aspects of decentralizations effect on eldercare ? a qualitative study of three municipal authority office/ Aspekter på decentraliseringens effekter på äldreomsorg ? En kvalitativ studie i tre kommuners myndighetskontorHandledare ? Linda ErlandssonExaminator: Jan Petersson This is a qualitative study of the phenomenon of decentralization and its impact on care managers working in elderly care. The aim of the study was to examine how care managers margin for maneuver and need assessments continually are shaped by organizational conditions and municipal governance. With these aspects in mind, we wanted to identify similarities and differences in three different municipalities? ways to work with care management in the elderly care.

The purpose of the literature study was to describe older people´s difficulties and attitudes to take several drugs. Literature has been sought in two large databases and included literature is selected, quality assessed and analyzed, based on the study purpose and questions. The authors conducted a descriptive literature review of qualitative and quantitative articles. Difficulties to access different types of pharmaceutical packaging, or to remember when to take their medicines are difficulties the elderly encounter. Cultural and socioeconomic differences become apparent.

This study aims to seek knowledge of the salutogenic model within geriatric care. This is done by problematizing the female geriatric care personnel?s everyday life and conditions. The study?s comparative empirical focus includes interviews with ten women that work within geriatric care, at two different workplaces.

The purpose of this essay was to see how the construction of elderly immigrants as a problem in healthcare and elderly care has been described in the relevant literature. In the course of doing so I tried to answer the following questions; What is said to be the expected problems or difficulties in work with eldely immigrants? How are the expected members of the problemgroup defined and identified? Whos perspective dominates the description of the problem, the users or the investigators? These questions were hard to answer and I had to conclude that the problem was not clearly defined; there was only an assumption of a problem. This, however, has not been a hindrance in the category of elderly immigrants being claimed to be a group with problems that need research and further investigation. The dominating perspective is that of the investigators as they are the ones who define and identify who is a part of the problemgroup..

The aim of the study was to illustrate how care managers reflect and act in regards to self-determination and integrity when caring for residents over 65 years old who have a dementia diagnosis. Our main questions dealt with how care managers handle the right to self-determination and integrity when a person has dementia, to which extent the care managers listen to the person with dementia and how the care managers look upon the residents with dementia?s ability of self-determination. To find the answers to our questions, we interviewed ten care managers within the elderly care in Gothenburg, Sweden. We used qualitative interviews based on a semi-structured interview guide.

This study was carried out in the purpose of investigating the factors in the electronicmedical records system in Procapita that contributes to utility for the users and the factorsthat prevents the experience of utility for the users. The study was done within KalmarCounty and its employees within the field elderly care. The problem that we brought upwas that the elderly part of the population is growing quite rapidly whilst the gap betweensupply and demand on nurses and physiotherapists is increasing. This creates a problem ofits own in regards to how we are going to care for the elderly when there?s not enoughstaff for it.

Aim: The aim with the thesis was to examine elderly peoples? motives towards physical activity. Method: A qualitative approach has been adopted with a purposive sampling procedure. Four half structured interviews have been conducted using a thematic interview guide. Results: The fear of being overweight and not being able to take care of themselves were announced as important aspects, since it motivated them to perform physical activity.

Purpose: The purpose of this interview study was to describe the nurses? view of their experiences of interaction with other professionals to improve the elderly patient's nutritional status in municipal elderly care.Method: The study is based on qualitative interviews with nine nurses and was analyzed according to a qualitative content analysis method.Results: The main themes that emerged: Communication among the involved, To feel secure in their role, Lack of structure. The nurses worked closely with nursing staff and cooperated more with doctors about nutrition than with the physiotherapist and occupational therapist. The nurses felt they had the main responsibility for maintaining a good nutritional status of the elderly patient and described themselves as primarily responsible for nutrition while they lacked nutritional competence equal to the responsibilities they had during the whole nutrition process. The nurses had no community dietitian?s skills and felt that the dietitian had a great responsibility and the most updated knowledge in diet and nutrition.

In light of health scandals and intense debate in the media about the elderly, the authors investigates two Swedish newspaper and their depiction of elder care in Sweden. Using Faircloughs three-dimensional model and critical discourse analysis, it is investigated if there is a more prominent discourse and if so the impact of globalization on this discourse concerning swedish elderly care. A sample of a total of ten articles in the Swedish newspaper Aftonbladet and Dagens Nyheter is analyzed. The authors found that older people who are granted home help or place of accommodation rarely make their voices heard. Rarely were also relatives of residents given the opportunity to speak.

AbstractSince the Act Regarding Support and Service to Certain Functionally Handicapped Persons (LSS) were introduced in 1994, social care and service have increased inSweden(SFS 1993:387). The implementation of the act has caused many changes and also progress within the social care system. One main change is the division between public (provided by the municipalities) and private care providers. This division has led to many questions about how leadership is organized within different public and private organizations.The purpose of this study is to investigate differences between leader?s experiences of their role and working conditions within private and public assistance care for disabled.

The study is about the collaboration between assistance administrators and unit managers. The aim of the study was to understand the assistance administrators and unit managers interpretation of the concept of collaboration, as well as their experience of collaboration in the practical work in elderly care in the common work around care recipients in the evaluation and execution of home help services. The analyse of the interview material was conducted by using collaboration and New Public Management (NPM). We used the qualitative method in our study with semi-structured questions. The interviews were transcribed, coded and thematised based on our questions. When interpreting the interviews we used the hermeneutic circle in which we analyzed the study's various parts and then attached them to the collaboration, NPM and also to earlier research and to each other. The conclusions that emerged raises the important factors for collaboration and could be linked to collaboration, NPM and previous research.

A tough working climate and the lack of extrinsic motivation at workplaces within health care raise the question of what instead drives employees within this industry. A possible answer to this is Public Service Motivation (PSM) - a type of motivation that is based on the desire to do good for society and its individuals. In order to investigate this further we have performed a qualitative study consisting of ten interviews with people working with institutional care, where the purpose has been to identify the sources of motivation and determine the impact of PSM. The results show that the compassion dimension of PSM appears to be one of the most salient motivational factors. While the rest of the PSM dimensions fail to explain the level of motivation to the same extent as compassion, other factors are recognized, such as relatedness and aspects of the nature of the work itself.