1,721,010 research outputs found
The role of cancer coordinators in improving collaboration in cancer care at local levels following the coordination reform
No full textThe present study is devoted to one area of change in the Norwegian cancer care associated
with the Coordination Reform implemented in 2012. More specifically, my aim has been
to shed light on the role cancer coordinators play in cancer care provision at local levels.
This underlies both the theoretical presentation and the empirical study undertaken. Cancer
coordinator positions were initiated in many municipalities following the Coordination
Reform, as part of a trial project implemented by the Norwegian Cancer Society. The main
objectives of these positions were to facilitate an increased coordination of cancer care at
local levels, to optimize the level and timeliness of care for patients, their next-of-kin and
health personnel serving this population in municipalities. As such, implementing cancer
coordinator positions was a means to improve the provision of care and assistance for
cancer patients and their families in municipalities and to enhance the development and
maintenance of adequate collaboration between various municipal and non-municipal
health care professionals, organizations, services and institutions to ensure the best
possible practice in the area of cancer care (Kreftforeningen 2013). This thesis investigates
the theoretical backgrounds for the cancer coordinator initiative and describes the impact
of cancer coordinators’ activity on the provision of patient-centered care and cancer care
coordination, as viewed by the cancer coordinators themselves.
Utilizing a post-New Public Management framework in the theoretical examination allows
me to shed light on the explicit and more implicit backgrounds for the implementation of
cancer coordinators in municipalities, and to analyze various outcomes as expressed by
cancer coordinators in light of this theoretical approach. As the implementation of cancer
coordinator positions is inherently interconnected with the Coordination Reform, I have
included a brief discussion of this reform from the same theoretical perspective.
Post-New Public Management ideas are characterized by processes aimed to enhance both
horizontal and vertical coordination, resulting in greater cross-sectoral collaboration and
integration and focuses on value-based management and pro-active leadership (Ling 2002;
Alford 2002; Pollitt 2003; Stoker 2006; O’Flynn 2007; Christensen and Lægreid 2007).
The quantitative study has demonstrated that the implementation of the cancer coordinator
trial project in several Norwegian municipalities has had a positive impact on the provision
of patient-centered care and cancer care coordination, as viewed by the cancer coordinators themselves. In particular, the majority of cancer coordinators reported that they had good
or very good communication with cancer patients and were capable of meeting cancer
patients’ needs, ensuring a positive impact of their activities on the patients’ life situation.
Furthermore, cancer coordinators commonly used home-visits as a means of
communication with cancer patients and their next-of-kin. Cancer coordinators participated
in supervision and education of cancer patients and their families in the municipality at
least monthly. The majority of cancer coordinators denoted very good or good
collaboration with palliative care and cancer care nurses, oncological outpatient
departments, palliative care departments, nursing homes and cancer coordinators of other
municipalities and/or representatives of the Norwegian Cancer Society. Moreover, cancer
coordinators initiated and maintained collaborative actions with several concerned parties
in the municipalities by means of attending or arranging joint meetings at least monthly.
On the other hand, this study also revealed organizational and communication difficulties
within the area of cancer care, which need to be considered and resolved to further improve
the level of care and cancer care coordination. In particular, cancer coordinators denoted
that it was sometimes quite difficult or even not possible to communicate and collaborate
on cancer patients with general practitioners, NAV, schools and/or kindergartens. In
addition, the majority of cancer coordinators reported that better collaboration with general practitioners about new and existing cancer patients, as well as better interaction with
hospitals and municipal services, could make their work more effective.
Comparisons of the results from this empirical analysis with the results of studies
conducted in similar areas in national and international contexts indicate the presence of
common features, particularly with regard to the difficulties in maintaining an appropriate
level of coordination. A comparison of the obtained results with the results of the
evaluation report of the Norwegian Cancer Society shows that the results of the present
study are in line with those reported by the Norwegian Cancer Society.
Cancer coordinators have been shown to provide enhanced patient-centered care for cancer
patients and maintain cancer care coordination at local levels. However, the process of
cancer care coordination among services, institutions and organizations is considered
complicated and has been shown to exceed the resources available to cancer coordinators.
As a consequence, cancer coordinators’ interaction and collaboration with several health
care and municipal services need to be improved
The role of cancer coordinators in improving collaboration in cancer care at local levels following the coordination reform
Full text linkMaster i sosialt arbeidThe present study is devoted to one area of change in the Norwegian cancer care associated
with the Coordination Reform implemented in 2012. More specifically, my aim has been
to shed light on the role cancer coordinators play in cancer care provision at local levels.
This underlies both the theoretical presentation and the empirical study undertaken. Cancer
coordinator positions were initiated in many municipalities following the Coordination
Reform, as part of a trial project implemented by the Norwegian Cancer Society. The main
objectives of these positions were to facilitate an increased coordination of cancer care at
local levels, to optimize the level and timeliness of care for patients, their next-of-kin and
health personnel serving this population in municipalities. As such, implementing cancer
coordinator positions was a means to improve the provision of care and assistance for
cancer patients and their families in municipalities and to enhance the development and
maintenance of adequate collaboration between various municipal and non-municipal
health care professionals, organizations, services and institutions to ensure the best
possible practice in the area of cancer care (Kreftforeningen 2013). This thesis investigates
the theoretical backgrounds for the cancer coordinator initiative and describes the impact
of cancer coordinators’ activity on the provision of patient-centered care and cancer care
coordination, as viewed by the cancer coordinators themselves.
Utilizing a post-New Public Management framework in the theoretical examination allows
me to shed light on the explicit and more implicit backgrounds for the implementation of
cancer coordinators in municipalities, and to analyze various outcomes as expressed by
cancer coordinators in light of this theoretical approach. As the implementation of cancer
coordinator positions is inherently interconnected with the Coordination Reform, I have
included a brief discussion of this reform from the same theoretical perspective.
Post-New Public Management ideas are characterized by processes aimed to enhance both
horizontal and vertical coordination, resulting in greater cross-sectoral collaboration and
integration and focuses on value-based management and pro-active leadership (Ling 2002;
Alford 2002; Pollitt 2003; Stoker 2006; O’Flynn 2007; Christensen and Lægreid 2007).
The quantitative study has demonstrated that the implementation of the cancer coordinator
trial project in several Norwegian municipalities has had a positive impact on the provision
of patient-centered care and cancer care coordination, as viewed by the cancer coordinators themselves. In particular, the majority of cancer coordinators reported that they had good
or very good communication with cancer patients and were capable of meeting cancer
patients’ needs, ensuring a positive impact of their activities on the patients’ life situation.
Furthermore, cancer coordinators commonly used home-visits as a means of
communication with cancer patients and their next-of-kin. Cancer coordinators participated
in supervision and education of cancer patients and their families in the municipality at
least monthly. The majority of cancer coordinators denoted very good or good
collaboration with palliative care and cancer care nurses, oncological outpatient
departments, palliative care departments, nursing homes and cancer coordinators of other
municipalities and/or representatives of the Norwegian Cancer Society. Moreover, cancer
coordinators initiated and maintained collaborative actions with several concerned parties
in the municipalities by means of attending or arranging joint meetings at least monthly.
On the other hand, this study also revealed organizational and communication difficulties
within the area of cancer care, which need to be considered and resolved to further improve
the level of care and cancer care coordination. In particular, cancer coordinators denoted
that it was sometimes quite difficult or even not possible to communicate and collaborate
on cancer patients with general practitioners, NAV, schools and/or kindergartens. In
addition, the majority of cancer coordinators reported that better collaboration with general practitioners about new and existing cancer patients, as well as better interaction with
hospitals and municipal services, could make their work more effective.
Comparisons of the results from this empirical analysis with the results of studies
conducted in similar areas in national and international contexts indicate the presence of
common features, particularly with regard to the difficulties in maintaining an appropriate
level of coordination. A comparison of the obtained results with the results of the
evaluation report of the Norwegian Cancer Society shows that the results of the present
study are in line with those reported by the Norwegian Cancer Society.
Cancer coordinators have been shown to provide enhanced patient-centered care for cancer
patients and maintain cancer care coordination at local levels. However, the process of
cancer care coordination among services, institutions and organizations is considered
complicated and has been shown to exceed the resources available to cancer coordinators.
As a consequence, cancer coordinators’ interaction and collaboration with several health
care and municipal services need to be improved
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Do older parents’ assistance needs deter parent-child geographic divergence in Norway?
Full text linkThe role of intergenerational geographic proximity in individuals' migration decisions has been well-established. The circumstances under which parents and their adult children move away from or remain close to each other are, however, less clear. Drawing on Norwegian register data for 2014–2016 and three-level logistic regression models, we examine whether formal care needs of older parents (aged ≥65) deter parent-child geographic divergence and whether variation in the likelihood of divergence is associated with municipal-level characteristics. After accounting for location-specific capital and parents' and children's sociodemographic characteristics, parents and children were less likely to diverge after the onset of parental care needs. Utilising in-home nursing decreased the likelihood of divergence for mothers while utilising institutionalised care decreased the likelihood of divergence for fathers. The use of in-home nursing care among single mothers further reduced the likelihood of divergence. Parents and adult children living in central areas were the least likely to diverge geographically. The likelihood of intergenerational divergence was lower for fathers and children living in municipalities with high healthcare spending
Flere eldre innvandrere i framtidens arbeidsstyrke
Full text linkAntall innvandrere i Norge vil øke framover, men utelukkende i de eldre aldersgruppene. I aldersgruppen 55-66 år vil det bli nesten tre ganger så mange innvandrere de neste 20 årene. Hva vil dette bety for norsk arbeids- og samfunnsliv? Vil de være i jobb? Denne artikkelen undersøker hva som vil kjennetegne de eldre innvandrerne framover – deres bakgrunn, utdanning, sysselsetting og hvor i Norge de vil bo. Våre resultater tyder på at framtidens eldre innvandrere i snitt vil ha betydelig lavere utdanningsnivå og arbeidsdeltakelse enn innfødte på samme alder. Det kan gi utfordringer både for integrerings- og seniorpolitikken
Growing numbers of older immigrants in Norway’s future labour force - and how low emigration among older immigrants can make it possible to project their future education, employment and urbanity - EXITNORWAY POLICY BRIEF No 1
No full textAccording to population projections, the number of immigrants in Norway will increase in the future, but exclusively in older age groups. The number of immigrants aged 55-66 years is expected to increase threefold within the next 20 years. What will characterize these older immigrants? Since emigration rates among immigrants above age 50 are relatively low, we explore the possibility for projecting likely characteristics of the older immigrants of the future (education, place of residence and employment) based on what we know about today’s younger immigrants. Our results suggest that future older immigrants in Norway are likely to be lower educated and have lower labour market participation rates than natives of the same age
Growing numbers of older immigrants in Norway’s future labour force - and how low emigration among older immigrants can make it possible to project their future education, employment and urbanity - EXITNORWAY POLICY BRIEF No 1
No full textAccording to population projections, the number of immigrants in Norway will increase in the future, but exclusively in older age groups. The number of immigrants aged 55-66 years is expected to increase threefold within the next 20 years. What will characterize these older immigrants? Since emigration rates among immigrants above age 50 are relatively low, we explore the possibility for projecting likely characteristics of the older immigrants of the future (education, place of residence and employment) based on what we know about today’s younger immigrants. Our results suggest that future older immigrants in Norway are likely to be lower educated and have lower labour market participation rates than natives of the same age.publishedVersio
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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