Merging existing practices with new ones: the adjustment of organizational routines to using cancer patient pathways in primary healthcare View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-01-02

AUTHORS

Petter Fjällström, Anna-Britt Coe, Mikael Lilja, Senada Hajdarevic

ABSTRACT

BackgroundThe introduction of new tools can bring unintended consequences for organizational routines. Cancer Patient Pathways (CPP) were introduced into the Swedish healthcare system in 2015 to shorten time to diagnosis and treatment. Primary healthcare (PHC) plays a central role since cancer diagnosis often begins in PHC units. Our study aimed to understand how PHC units adjusted organizational routines to utilizing CPPs.MethodSix PHC units of varied size from both urban and rural areas in northern Sweden were included. Grounded theory method was used to collect and analyse group interviews at each unit. Nine group interviews with nurses and physicians, for a total of 41 participants, were performed between March and November 2019. The interviews focused on CPPs as tools, the PHC units’ routines and providers’ experiences with using CPPs in their daily work.ResultsOur analysis captured how PHC units adjusted organizational routines to utilizing CPPs by fusing existing practices with new practices to offer better quality of care. Specifically, three overarching organizational routines within the PHC units were identified. First, Manoeuvring diverse patient needs with easier patient flow, the PHC units handled the diverse needs of the population while simultaneously drawing upon CPPs to ease the patient flow within the healthcare system. Second, (Dis) integrating internal know-how, the PHC units drew upon internal competence even when PHC know-how was not taken into account by those driving the CPP initiative. Third, Coping with unequal relationships toward secondary care, the PHC units dealt with being in an unequal position while adopting CPPs instead further decreased possibilities to influence decision-making between care-levels.ConclusionAdopting CPPs as a tool within PHC units brought various unintended consequences in organizational routines. Our study from northern Sweden illustrates that the PHC know-how needs to be integrated into the healthcare system to improve the use of new tools as CPP. Further, the relationships between different levels of care should be taken in account when introducing new tools for healthcare. Also, when adopting innovations, unintended consequences need to be further explored empirically in diverse healthcare contexts internationally in order to generate deeper knowledge in the research area. More... »

PAGES

3

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12913-021-07348-6

DOI

http://dx.doi.org/10.1186/s12913-021-07348-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1144347396

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34974839


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Delivery of Health Care", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Grounded Theory", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Neoplasms", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Primary Health Care", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Sweden", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Department of Nursing, Ume\u00e5 University, SE-901 87, Ume\u00e5, Sweden", 
          "id": "http://www.grid.ac/institutes/grid.12650.30", 
          "name": [
            "Department of Nursing, Ume\u00e5 University, SE-901 87, Ume\u00e5, Sweden"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Fj\u00e4llstr\u00f6m", 
        "givenName": "Petter", 
        "id": "sg:person.014741045714.39", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014741045714.39"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Sociology, Ume\u00e5 University, SE-901 87, Ume\u00e5, Sweden", 
          "id": "http://www.grid.ac/institutes/grid.12650.30", 
          "name": [
            "Department of Sociology, Ume\u00e5 University, SE-901 87, Ume\u00e5, Sweden"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Coe", 
        "givenName": "Anna-Britt", 
        "id": "sg:person.01265212341.29", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01265212341.29"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Public Health and Clinical Medicine, Unit of Research, Education, and Development, \u00d6stersund Hospital, Ume\u00e5 University, SE-901 87, Ume\u00e5, Sweden", 
          "id": "http://www.grid.ac/institutes/grid.12650.30", 
          "name": [
            "Department of Public Health and Clinical Medicine, Unit of Research, Education, and Development, \u00d6stersund Hospital, Ume\u00e5 University, SE-901 87, Ume\u00e5, Sweden"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Lilja", 
        "givenName": "Mikael", 
        "id": "sg:person.01177454451.80", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01177454451.80"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Public Health and Clinical Medicine, Family Medicine, Ume\u00e5 University, SE-901 87, Ume\u00e5, Sweden", 
          "id": "http://www.grid.ac/institutes/grid.12650.30", 
          "name": [
            "Department of Nursing, Ume\u00e5 University, SE-901 87, Ume\u00e5, Sweden", 
            "Department of Public Health and Clinical Medicine, Family Medicine, Ume\u00e5 University, SE-901 87, Ume\u00e5, Sweden"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hajdarevic", 
        "givenName": "Senada", 
        "id": "sg:person.01322706156.46", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01322706156.46"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1186/s12913-017-2568-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1091502765", 
          "https://doi.org/10.1186/s12913-017-2568-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1038/bjc.2013.791", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053263227", 
          "https://doi.org/10.1038/bjc.2013.791"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12939-017-0663-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1091668054", 
          "https://doi.org/10.1186/s12939-017-0663-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12885-015-1424-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039837797", 
          "https://doi.org/10.1186/s12885-015-1424-5"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12913-018-3062-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1103149029", 
          "https://doi.org/10.1186/s12913-018-3062-5"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12913-021-06224-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1136223854", 
          "https://doi.org/10.1186/s12913-021-06224-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1038/bjc.2011.308", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042566326", 
          "https://doi.org/10.1038/bjc.2011.308"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12913-019-4413-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1120376545", 
          "https://doi.org/10.1186/s12913-019-4413-6"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2022-01-02", 
    "datePublishedReg": "2022-01-02", 
    "description": "BackgroundThe introduction of new tools can bring unintended consequences for organizational routines. Cancer Patient Pathways (CPP) were introduced into the Swedish healthcare system in 2015 to shorten time to diagnosis and treatment. Primary healthcare (PHC) plays a central role since cancer diagnosis often begins in PHC units. Our study aimed to understand how PHC units adjusted organizational routines to utilizing CPPs.MethodSix PHC units of varied size from both urban and rural areas in northern Sweden were included. Grounded theory method was used to collect and analyse group interviews at each unit. Nine group interviews with nurses and physicians, for a total of 41 participants, were performed between March and November 2019. The interviews focused on CPPs as tools, the PHC units\u2019 routines and providers\u2019 experiences with using CPPs in their daily work.ResultsOur analysis captured how PHC units adjusted organizational routines to utilizing CPPs by fusing existing practices with new practices to offer better quality of care. Specifically, three overarching organizational routines within the PHC units were identified. First, Manoeuvring diverse patient needs with easier patient flow, the PHC units handled the diverse needs of the population while simultaneously drawing upon CPPs to ease the patient flow within the healthcare system. Second, (Dis) integrating internal know-how, the PHC units drew upon internal competence even when PHC know-how was not taken into account by those driving the CPP initiative. Third, Coping with unequal relationships toward secondary care, the PHC units dealt with being in an unequal position while adopting CPPs instead further decreased possibilities to influence decision-making between care-levels.ConclusionAdopting CPPs as a tool within PHC units brought various unintended consequences in organizational routines. Our study from northern Sweden illustrates that the PHC know-how needs to be integrated into the healthcare system to improve the use of new tools as CPP. Further, the relationships between different levels of care should be taken in account when introducing new tools for healthcare. Also, when adopting innovations, unintended consequences need to be further explored empirically in diverse healthcare contexts internationally in order to generate deeper knowledge in the research area.", 
    "genre": "article", 
    "id": "sg:pub.10.1186/s12913-021-07348-6", 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1327417", 
        "issn": [
          "1472-6963"
        ], 
        "name": "BMC Health Services Research", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "22"
      }
    ], 
    "keywords": [
      "cancer patient pathways", 
      "PHC units", 
      "primary healthcare", 
      "patient pathway", 
      "healthcare system", 
      "patient flow", 
      "Swedish healthcare system", 
      "secondary care", 
      "patient needs", 
      "provider experience", 
      "cancer diagnosis", 
      "diverse patient needs", 
      "care", 
      "diagnosis", 
      "group interviews", 
      "ResultsOur analysis", 
      "healthcare", 
      "healthcare context", 
      "rural areas", 
      "pathway", 
      "central role", 
      "nurses", 
      "physicians", 
      "new tool", 
      "treatment", 
      "interviews", 
      "total", 
      "unintended consequences", 
      "northern Sweden", 
      "study", 
      "good quality", 
      "participants", 
      "daily work", 
      "practice", 
      "experience", 
      "routines", 
      "Sweden", 
      "population", 
      "consequences", 
      "units", 
      "need", 
      "adjustment", 
      "Grounded Theory method", 
      "levels", 
      "relationship", 
      "role", 
      "different levels", 
      "diverse healthcare contexts", 
      "tool", 
      "area", 
      "use", 
      "diverse needs", 
      "quality", 
      "knowledge", 
      "time", 
      "deep knowledge", 
      "analysis", 
      "initiatives", 
      "competence", 
      "system", 
      "possibility", 
      "introduction", 
      "flow", 
      "size", 
      "new practices", 
      "varied sizes", 
      "method", 
      "position", 
      "context", 
      "order", 
      "new ones", 
      "one", 
      "account", 
      "theory method", 
      "unequal position", 
      "work", 
      "research area", 
      "unequal relationship", 
      "organizational routines", 
      "innovation", 
      "internal competence"
    ], 
    "name": "Merging existing practices with new ones: the adjustment of organizational routines to using cancer patient pathways in primary healthcare", 
    "pagination": "3", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1144347396"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/s12913-021-07348-6"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "34974839"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/s12913-021-07348-6", 
      "https://app.dimensions.ai/details/publication/pub.1144347396"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2022-12-01T06:44", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20221201/entities/gbq_results/article/article_939.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1186/s12913-021-07348-6"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12913-021-07348-6'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12913-021-07348-6'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12913-021-07348-6'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12913-021-07348-6'


 

This table displays all metadata directly associated to this object as RDF triples.

224 TRIPLES      21 PREDICATES      120 URIs      104 LITERALS      13 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/s12913-021-07348-6 schema:about N379dd56ffab44d87b3094ec964186290
2 N71628c4cf9f749d385c1e09206e5fcab
3 N8af17b7de2fb4d2ca19fe32049945eb4
4 Nacd17eff4d484a0e8a60d96c7475bda0
5 Nce6727648c65417ab89e88146c51e820
6 Nde6fc66bdb56434c908a4fdb7b87aed2
7 anzsrc-for:11
8 anzsrc-for:1117
9 schema:author N24ce5692ce1c4324892145e2dc443366
10 schema:citation sg:pub.10.1038/bjc.2011.308
11 sg:pub.10.1038/bjc.2013.791
12 sg:pub.10.1186/s12885-015-1424-5
13 sg:pub.10.1186/s12913-017-2568-6
14 sg:pub.10.1186/s12913-018-3062-5
15 sg:pub.10.1186/s12913-019-4413-6
16 sg:pub.10.1186/s12913-021-06224-7
17 sg:pub.10.1186/s12939-017-0663-2
18 schema:datePublished 2022-01-02
19 schema:datePublishedReg 2022-01-02
20 schema:description BackgroundThe introduction of new tools can bring unintended consequences for organizational routines. Cancer Patient Pathways (CPP) were introduced into the Swedish healthcare system in 2015 to shorten time to diagnosis and treatment. Primary healthcare (PHC) plays a central role since cancer diagnosis often begins in PHC units. Our study aimed to understand how PHC units adjusted organizational routines to utilizing CPPs.MethodSix PHC units of varied size from both urban and rural areas in northern Sweden were included. Grounded theory method was used to collect and analyse group interviews at each unit. Nine group interviews with nurses and physicians, for a total of 41 participants, were performed between March and November 2019. The interviews focused on CPPs as tools, the PHC units’ routines and providers’ experiences with using CPPs in their daily work.ResultsOur analysis captured how PHC units adjusted organizational routines to utilizing CPPs by fusing existing practices with new practices to offer better quality of care. Specifically, three overarching organizational routines within the PHC units were identified. First, Manoeuvring diverse patient needs with easier patient flow, the PHC units handled the diverse needs of the population while simultaneously drawing upon CPPs to ease the patient flow within the healthcare system. Second, (Dis) integrating internal know-how, the PHC units drew upon internal competence even when PHC know-how was not taken into account by those driving the CPP initiative. Third, Coping with unequal relationships toward secondary care, the PHC units dealt with being in an unequal position while adopting CPPs instead further decreased possibilities to influence decision-making between care-levels.ConclusionAdopting CPPs as a tool within PHC units brought various unintended consequences in organizational routines. Our study from northern Sweden illustrates that the PHC know-how needs to be integrated into the healthcare system to improve the use of new tools as CPP. Further, the relationships between different levels of care should be taken in account when introducing new tools for healthcare. Also, when adopting innovations, unintended consequences need to be further explored empirically in diverse healthcare contexts internationally in order to generate deeper knowledge in the research area.
21 schema:genre article
22 schema:isAccessibleForFree true
23 schema:isPartOf N174a1fbce0514f9b9080a8979f47532f
24 Nbfd1826273794c4b8510f68d942195b6
25 sg:journal.1327417
26 schema:keywords Grounded Theory method
27 PHC units
28 ResultsOur analysis
29 Sweden
30 Swedish healthcare system
31 account
32 adjustment
33 analysis
34 area
35 cancer diagnosis
36 cancer patient pathways
37 care
38 central role
39 competence
40 consequences
41 context
42 daily work
43 deep knowledge
44 diagnosis
45 different levels
46 diverse healthcare contexts
47 diverse needs
48 diverse patient needs
49 experience
50 flow
51 good quality
52 group interviews
53 healthcare
54 healthcare context
55 healthcare system
56 initiatives
57 innovation
58 internal competence
59 interviews
60 introduction
61 knowledge
62 levels
63 method
64 need
65 new ones
66 new practices
67 new tool
68 northern Sweden
69 nurses
70 one
71 order
72 organizational routines
73 participants
74 pathway
75 patient flow
76 patient needs
77 patient pathway
78 physicians
79 population
80 position
81 possibility
82 practice
83 primary healthcare
84 provider experience
85 quality
86 relationship
87 research area
88 role
89 routines
90 rural areas
91 secondary care
92 size
93 study
94 system
95 theory method
96 time
97 tool
98 total
99 treatment
100 unequal position
101 unequal relationship
102 unintended consequences
103 units
104 use
105 varied sizes
106 work
107 schema:name Merging existing practices with new ones: the adjustment of organizational routines to using cancer patient pathways in primary healthcare
108 schema:pagination 3
109 schema:productId N1bb78398e0704ef1a281ee22df34b4e1
110 N2087631b25dc4c898142b50e8aeb32b0
111 Ne211447d1bad447f8e46b801240ec888
112 schema:sameAs https://app.dimensions.ai/details/publication/pub.1144347396
113 https://doi.org/10.1186/s12913-021-07348-6
114 schema:sdDatePublished 2022-12-01T06:44
115 schema:sdLicense https://scigraph.springernature.com/explorer/license/
116 schema:sdPublisher N86c5e09aff904c12bc715d7f0c1acd11
117 schema:url https://doi.org/10.1186/s12913-021-07348-6
118 sgo:license sg:explorer/license/
119 sgo:sdDataset articles
120 rdf:type schema:ScholarlyArticle
121 N174a1fbce0514f9b9080a8979f47532f schema:issueNumber 1
122 rdf:type schema:PublicationIssue
123 N1bb78398e0704ef1a281ee22df34b4e1 schema:name dimensions_id
124 schema:value pub.1144347396
125 rdf:type schema:PropertyValue
126 N2087631b25dc4c898142b50e8aeb32b0 schema:name doi
127 schema:value 10.1186/s12913-021-07348-6
128 rdf:type schema:PropertyValue
129 N24ce5692ce1c4324892145e2dc443366 rdf:first sg:person.014741045714.39
130 rdf:rest Nd5a742782b1f4ba9abd3fbee93cbce6f
131 N349756046f394a1a8d0a24ad18f371e7 rdf:first sg:person.01322706156.46
132 rdf:rest rdf:nil
133 N379dd56ffab44d87b3094ec964186290 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
134 schema:name Sweden
135 rdf:type schema:DefinedTerm
136 N71628c4cf9f749d385c1e09206e5fcab schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
137 schema:name Neoplasms
138 rdf:type schema:DefinedTerm
139 N86c5e09aff904c12bc715d7f0c1acd11 schema:name Springer Nature - SN SciGraph project
140 rdf:type schema:Organization
141 N8af17b7de2fb4d2ca19fe32049945eb4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
142 schema:name Delivery of Health Care
143 rdf:type schema:DefinedTerm
144 Nacd17eff4d484a0e8a60d96c7475bda0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
145 schema:name Primary Health Care
146 rdf:type schema:DefinedTerm
147 Nb8889845dc9b48c5aca72b0d09efdfe0 rdf:first sg:person.01177454451.80
148 rdf:rest N349756046f394a1a8d0a24ad18f371e7
149 Nbfd1826273794c4b8510f68d942195b6 schema:volumeNumber 22
150 rdf:type schema:PublicationVolume
151 Nce6727648c65417ab89e88146c51e820 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
152 schema:name Humans
153 rdf:type schema:DefinedTerm
154 Nd5a742782b1f4ba9abd3fbee93cbce6f rdf:first sg:person.01265212341.29
155 rdf:rest Nb8889845dc9b48c5aca72b0d09efdfe0
156 Nde6fc66bdb56434c908a4fdb7b87aed2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
157 schema:name Grounded Theory
158 rdf:type schema:DefinedTerm
159 Ne211447d1bad447f8e46b801240ec888 schema:name pubmed_id
160 schema:value 34974839
161 rdf:type schema:PropertyValue
162 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
163 schema:name Medical and Health Sciences
164 rdf:type schema:DefinedTerm
165 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
166 schema:name Public Health and Health Services
167 rdf:type schema:DefinedTerm
168 sg:journal.1327417 schema:issn 1472-6963
169 schema:name BMC Health Services Research
170 schema:publisher Springer Nature
171 rdf:type schema:Periodical
172 sg:person.01177454451.80 schema:affiliation grid-institutes:grid.12650.30
173 schema:familyName Lilja
174 schema:givenName Mikael
175 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01177454451.80
176 rdf:type schema:Person
177 sg:person.01265212341.29 schema:affiliation grid-institutes:grid.12650.30
178 schema:familyName Coe
179 schema:givenName Anna-Britt
180 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01265212341.29
181 rdf:type schema:Person
182 sg:person.01322706156.46 schema:affiliation grid-institutes:grid.12650.30
183 schema:familyName Hajdarevic
184 schema:givenName Senada
185 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01322706156.46
186 rdf:type schema:Person
187 sg:person.014741045714.39 schema:affiliation grid-institutes:grid.12650.30
188 schema:familyName Fjällström
189 schema:givenName Petter
190 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014741045714.39
191 rdf:type schema:Person
192 sg:pub.10.1038/bjc.2011.308 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042566326
193 https://doi.org/10.1038/bjc.2011.308
194 rdf:type schema:CreativeWork
195 sg:pub.10.1038/bjc.2013.791 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053263227
196 https://doi.org/10.1038/bjc.2013.791
197 rdf:type schema:CreativeWork
198 sg:pub.10.1186/s12885-015-1424-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039837797
199 https://doi.org/10.1186/s12885-015-1424-5
200 rdf:type schema:CreativeWork
201 sg:pub.10.1186/s12913-017-2568-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1091502765
202 https://doi.org/10.1186/s12913-017-2568-6
203 rdf:type schema:CreativeWork
204 sg:pub.10.1186/s12913-018-3062-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1103149029
205 https://doi.org/10.1186/s12913-018-3062-5
206 rdf:type schema:CreativeWork
207 sg:pub.10.1186/s12913-019-4413-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1120376545
208 https://doi.org/10.1186/s12913-019-4413-6
209 rdf:type schema:CreativeWork
210 sg:pub.10.1186/s12913-021-06224-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1136223854
211 https://doi.org/10.1186/s12913-021-06224-7
212 rdf:type schema:CreativeWork
213 sg:pub.10.1186/s12939-017-0663-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1091668054
214 https://doi.org/10.1186/s12939-017-0663-2
215 rdf:type schema:CreativeWork
216 grid-institutes:grid.12650.30 schema:alternateName Department of Nursing, Umeå University, SE-901 87, Umeå, Sweden
217 Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, SE-901 87, Umeå, Sweden
218 Department of Public Health and Clinical Medicine, Unit of Research, Education, and Development, Östersund Hospital, Umeå University, SE-901 87, Umeå, Sweden
219 Department of Sociology, Umeå University, SE-901 87, Umeå, Sweden
220 schema:name Department of Nursing, Umeå University, SE-901 87, Umeå, Sweden
221 Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, SE-901 87, Umeå, Sweden
222 Department of Public Health and Clinical Medicine, Unit of Research, Education, and Development, Östersund Hospital, Umeå University, SE-901 87, Umeå, Sweden
223 Department of Sociology, Umeå University, SE-901 87, Umeå, Sweden
224 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...