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The withdrawal of the welfare state: elderly care in Sweden in the 1990s
- Authors:
- BLOMBERG Staffan, EDEBALK Per Gunnar, PETERSSON Jan
- Journal article citation:
- European Journal of Social Work, 3(2), July 2000, pp.151-163.
- Publisher:
- Taylor and Francis
In Sweden, clear changes in the care of the elderly have occurred during the 1990s, with fewer people being provided public care, although greater efforts are now directed towards those most in need of help. Elderly people are cared for increasingly in other ways: by the family, by means of market-provided care, and by voluntary and informal means. Differences between municipalities are considerable. A comparative study was conducted in eight Swedish municipalities, four of them characterized by extensive reorganization of home-help services, and the other four constituting a reference group where such changes had not occurred. The aim was to examine processes of setting local priorities and adjustments in a period of marked structural change.
The specialisation of needs-assessment in Swedish municipal care for older people: the diffusion of a new organisational model
- Author:
- BLOMBERG Staffan
- Journal article citation:
- European Journal of Social Work, 11(4), 2008, pp.415-429.
- Publisher:
- Taylor and Francis
The 1990s were characterised by strong pressure for organisational reform at the municipality level in the Swedish welfare provision. In social care services for older people, care management reform was one of the many proposals circulating. Within a short time span, a large number of municipalities had implemented this new model and this paper reports and analyses the process of change. A key finding was that the success of the new organisational model was ascribed to new problem-solving functions and a lack of internal (professional) resistance.
Implementing a continuum of care model for older people: results from Swedish case study
- Authors:
- DUNER Anna, BLOMBERG Staffan, HASSON Henna
- Journal article citation:
- International Journal of Integrated Care, 11(4), 2011, Online only
- Publisher:
- International Foundation for Integrated Care
This study examines the process of implementing a new continuum of care model in a complex organisational context, and illuminate some of the challenges involved. The model connected three organisations responsible for delivering health and social care to older people: the regional hospital, primary health care and municipal eldercare. The findings seek to examine whether individuals at different organisational levels understand the model; the commitment they expressed to the model;' and whether they felt they were able to put the model into practice. For the study 44 qualitative interviews were carried out on four separate occasions with 26 key actors at three organisational levels, within these three organisations. The actions of the actors involved in the process of implementing the model were understood to be shaped by the actors' understanding, commitment and ability. The results point to the importance of paying regard to the different cultures of the organisations when implementing a new model. The role of upper management emerged as very important. To be accepted, the model has to be experienced as effectively dealing with real problems in the everyday practice of the actors in the organisations, from the bottom to the top.