Stockholm university

Research project Participation in care planning upon hospital discharge

In Nicoline Annetorp Roth’s dissertation, patient participation and care coordination for older adults transitioning from hospital to home care are explored in relation to socio-political trends in the old-age care field.

In Sweden, the Care Coordination Act (CCA) was introduced in 2018, resulting in changes in time frames and procedures for multi-professional care planning, as well as shifted responsibilities for the professionals involved. The reform aimed to reduce delayed transfers of care and improve interprofessional collaboration. Additionally, participation for patients and their family members is an ambiguous yet important responsibility for professional caregivers.

The research project aims to explore care planning for older adults transitioning from hospital to home care. Specifically, interprofessional collaboration and participation for older adults and their family members are studied in policy and practice as well as from a patient perspective.

Project description

The dissertation contains four empirical studies, of which one is a framing analysis of policy documents relating to the CCA. In the three subsequent studies, the empirical material consists of interviews with professionals responsible for care planning upon hospital discharge and older adults with experience of the hospital discharge process. The study participants are recruited through two Swedish regional councils and a number of municipalities within these regions.

The policy analysis aims to explore how hospital discharge policies shape the landscape of collaborative care planning for older adults by studying the framing of problems and solutions related to the multi-professional hospital discharge process. In the two interview studies with professionals, the focus is on the use and comprehension of the reform in relation to organizational conditions and the task of working with interprofessional collaboration and participation in practice. The study based on interviews with older adults aims to examine experiences of user participation in care planning upon hospital discharge, and how these experiences can be understood in relation to socio-political objectives.

Project members

Project managers

Nicoline Annetorp Roth

PhD student

Department of Social Work
Nicoline Roth. Foto: Rickard Kilström.