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dc.contributor.authorMyklebust, Aud Mette
dc.contributor.authorEide, Hilde
dc.contributor.authorEllis, Brian
dc.contributor.authorBeattie, Rona
dc.date.accessioned2020-03-06T08:23:04Z
dc.date.available2020-03-06T08:23:04Z
dc.date.created2019-12-13T10:04:00Z
dc.date.issued2019
dc.identifier.citationBMC Health Services Research. 2019, 19 (259).en_US
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/11250/2645674
dc.descriptionThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en_US
dc.description.abstractBackground:Implementation of the Norwegian government’s Coordination Reform (2012) aims to decentralisehealth care services from centralised hospitals to local communities. Radiological services in Norway are mainlyorganised in hospitals, because of the significant financial and human resource demands engendered by the needfor advanced technological equipment, and specialised staff. Some selected conventional x-ray services have beendecentralised into rural communities. The purpose of this single case study was to highlight experiences fromdifferent stakeholders’of organising decentralised radiological services in a rural area in Norway.Methods:A qualitative single case study design was adopted, collected data using focus groups with healthcareprofessionals and managers to obtain stakeholder’s experiences of the radiological services in this rural area. Thekey emergent themes from the literature, decentralisation, quality, professional roles, organisation and economicconsequences were discussed with each focus group. Thematic analysis was used for analyzing the primary datacollected.Results:Four main themes emerged from the focus groups: 1) organisation, 2) quality and safety, 3) funding ofradiological services and 4) cooperation between health care professions and health care levels. It was found thatthe organisation of decentralised radiological services to rural areas is challenging because of the way healthservices are structured in Norway. The quality of service was found to be inadequate in some areas because of thesuperficial level of training given to non-radiographic staff. The experience is that the Norwegian funding systemhinders an efficient decentralised health care service. Effective cooperation and responsibility between health careprofessions and levels was challenging. There needs to be improved co-working by clearly defining roles andresponsibilities.Conclusions:A key recommendation for the organisation of rural radiological service was the development of asatellite link with an acute hospital. Quality of the service could be improved and should be given priority.Structural change to the financial system whereby money follows patients, might also facilitate more patientcentredservices across healthcare levels. Improved mutual understanding between rural radiological services and hospitalspecialists and managers is important for a high quality and consistent radiological service to be delivered acrossNorway.en_US
dc.language.isoengen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleExperiences from Decentralised Radiological Services in Norway- a rural case studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© The Author(s). 2019en_US
dc.source.pagenumber11en_US
dc.source.volume19en_US
dc.source.journalBMC Health Services Researchen_US
dc.source.issue259en_US
dc.identifier.doi10.1186/s12913-019-4800-z
dc.identifier.cristin1760401
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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