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..

Background: Homelessness is increasing, and health care is still difficult for many homeless people to achieve. If they get sick, it is both technically challenging to get a clinic they can go to, but also an economic problem because most of the homeless have no gainful employment. The fact that many homeless people experience bad attitudes of health care professionals is one reason why they don?t seek healthcare until an emergency arises. In the profession as a nurse, all people should be given equal treatment regardless of background.

In the year of 2009 the conditions for managing primary healthcare in the region of Västra Götalandchanged. The decision was taken by the regional assembly and resulted in that the citizens since thenhave had the opportunity to choose which health care provider they preferto stay with. Along with thisdecision a new market for private health careproviders was established, which resulted inincreasedcompetition between the providers.In order to manage the competition, the health care providers arenow forced to be more efficient in their operations andalso to beeven more focused on their patients.Backa Läkarhusgruppen is an example of a private healthcare provider in the region of Västra Götaland.In the same way it is also an example of anorganizationin need of analysing their operations to seehowit can be further optimized to meet patient needs and expectations.The aim of this study is to analyse Backa Läkarhusgruppen?s organization and its operationsin the hopeoffinding suggestions whichwill improve the patient flow.To allocate and solve the problems thatBacka Läkarhus suffer from,an approach inspired by Lean Healthcare is used throughout the report.Some of themost significant problems that were identified within the organization are:?The synchronization of demand and capacity is inadequate.?Absence of standardized routines.?Absence of present leadership.To be able to improve the patient flow Backa Läkarhus needs to handle these identified problem areas.By synchronizing the staffing level in relation to the trends in demand a reduction in the patient?swaiting times and throughput time will be possible. Creating clear responsibilities and routines for thestaff will contribute to a higher degree of patient focus and thus lead to a more efficient patient flow.

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.

Swedish healthcare systems have endured harsh criticism from healthcare professionals because of their inability to understand healthcare processes. These systems have been identified as significant time consumers, and Swedish healthcare is therefore facing a major challenge to assure patient safety. The following paper is based on a workplace study, which aims to examine healthcare systems? impact on physicians? practices. Our findings show that physicians spend substantial amounts of time chasing information, rather than managing information and pursuing healthcare.

This masters thesis takes the providers perspective on public library story times for children. The main questions are: What perspectives can the providers have? How does the perspective affect the content and how is the story time drawn up? Five story time providers were interviewed about the purpose of their story times, the methods they used and the content they chose. A model with four criteria was used to analyze the result of the interviews. The criteria were: adult criteria, consideration of the childrens view, pedagogical criteria and literary/story time criteria.

Senior citizens require a healthy oral cavity and healthy teeth in order to eat, speak and preserve their well-being. With age we know that the incidence and prevalence of diseases and symptoms originating from the oral cavity are more common compared to younger age groups. Senior citizens are the fastest growing population on earth, thus the need of Healthcare providers with knowledge and skills in oral healthcare are in great demand.  The purpose of this thesis is to identify oral healthcare interventions and educational interventions which have been shown to improve oral health of residents over 65 years of age.  A literature review was conducted in which 15 scientific articles were scrutinized. Databases used were PubMed, Cinahl and Scopus. The results imply that good oral healthcare not only improve the oral health of senior citizens, but also prevents the occurrence of other diseases such as pneumonia and  improve the overall quality of life.

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.

The effectiveness of communication in the Swedish healthcare system context has long been the subject of debate. Issues stemming from usability, accessability and interpretation affect the lives of patients, and yet the vocal groups in the healthcare communication debate are patients and administrators, not healthcare professionals. With the advent of eHealth services and new demands being put forth on the ability of healthcare professionals' to handle increasingly numerous and innovative systems, it is of more importance than ever to understand the healthcare professionals' work context. This article is based on interviews with five healthcare professionals concerning their views on electronic health records (EHR), eHealth services, trends in healthcare services development in Sweden, as well as their views on the future of eHealth solutions and health information technology (HIT). Analysis of collected information shows an apprehension among healthcare professionals towards electronic communication, as well as a dissatisfaction with the usability of modern healthcare systems.

The swedish healthcare is in many situations one of the best in the world. But still, the healthcare system includes elemnts that reduce the efficiency. Partly becouse the swedish healthcare is largely monopolized, the servicecs are not properly prized and the economic responsibility and the liability legislation is limited. The main problem this study evolves around, is how a different liability rule would change the shape of the healthcare organisation. Abouve all, how would the approach to riskmanagement and preventive and riskreducing performance change with a diffrent liability rule.

I sin strävan att bli en lärande organisation har USiL stött på problem och motstånd. Tidigare misslyckade förändringsprojekt har bidragit till ett förändringsmotstånd bland de anställda. Motståndet stärks ytterligare av den kultur och struktur som finns på sjukhuset. Lean Healthcare innebär nya roller för de anställda. De grupper som kan anses vara förlorare med ett införande av Lean Healthcare är chefer och läkare eftersom de tappar makt och inflytande.

Background:Nurses can meet women who have been victims of abuse anywhere in the healthcare. Healthcare providers have a responsibility to these women, and it requires a broad range of skills to identify the women and thus be able to help them. It is important to see all patients as unique individuals and provide good care to maintain their specific needs. This paper was done to increase the understanding of nurses' experiences in the encounter with the battered woman.Aim:The aim of this study was to illustrate how nurses experience the encounter with the battered woman.Method:Literature review with both qualitative and quantitative studies. Nine articles were chosen to be read, reviewed and analyzed.Results:Three themes and ten subthemes appeared.

Bakgrund: Under de senaste decennierna har den offentliga svenska sjukvården genomgått stora förändringar. Ett av de begrepp som implementeras är Lean Healthcare. Begreppet bör ses som en filosofi och strategi. Verksamhetsstyrningen bör anpassas efter vald stra-tegi, som exempelvis Lean Healthcare. Det finns dock inte en universell metod för hur styrningen bör anpassas efter Lean Healthcare, utan styrningen bör vara individuellt anpas-sad.Syfte: Syftet med denna studie är att genom att studera sex sjukhus utreda hur sjukhusens verksamhetsstyrning stödjer strategin Lean Healthcare.Metod: Vi uppfyllde vårt syfte genom att göra en multipel fallstudie på sex sjukhus tillhö-rande två landsting, Skåne och Jönköping Vi har intervjuat personer med olika befattningar på sjukhusen för att skapa oss en uppfattning om hur Lean Healthcare stöds i sjukhusens verksamhetsstyrning.

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.

The purpose of this thesis was to study managers in the tourism market who works with internal marketing towards their personnel. A case study with two tourism providers, Hotel La-ponia and Mix Ranch, was performed. The cases were based on personal interviews with the hotel manager at Hotel Laponia and with the owner of Mix Ranch. The research questions were based on why tourist providers use internal marketing and how tourist providers use internal marketing. The findings were that it was regarded as very important to have moti-vated, satisfied, and properly trained personnel in this business because they are the ones who have direct communication with the clients and they are an important issue to help the com-pany to success.