Kirsten Beedholm

When Clock Time Governs Interaction: How Time Influences Health Professionals’ Intersectoral Collaboration

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When Clock Time Governs Interaction : How Time Influences Health Professionals’ Intersectoral Collaboration. / Andersen, Anne Bendix; Beedholm, Kirsten; Kolbæk, Raymond; Frederiksen, Kirsten.

In: Qualitative Health Research, Vol. 28, No. 13, 01.11.2018, p. 2059-2070.

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@article{0b3bf8177ee2445a88c06828bfcb6750,
title = "When Clock Time Governs Interaction: How Time Influences Health Professionals{\textquoteright} Intersectoral Collaboration",
abstract = "When setting up patient pathways that cross health care sectors, professionals in emergency units strive to fulfill system requirements by creating efficient patient pathways that comply with standards for length of stay. We conducted an ethnographic field study, focusing on health professionals{\textquoteright} collaboration, of 10 elderly patients with chronic illnesses, following them from discharge to their home or other places where they received health care services. We found that clock time not only governed the professionals{\textquoteright} ways of collaborating, but acceleration of patient pathways also became an overall goal in health care delivery. Professionals{\textquoteright} efforts to save time came to represent a “monetary value,” leading to speedier planning of patient pathways and consequent risks of disregarding important issues when treating and caring for elderly patients. We suggest that such issues are significant to the future planning and improvement of patient pathways that involve elderly citizens who are in need of intersectoral health care delivery.",
keywords = "Ethnography, Scandinavia, chronic illness and disease, culture of health care, decision-making, home care, older people, qualitative, social constructionism",
author = "Andersen, {Anne Bendix} and Kirsten Beedholm and Raymond Kolb{\ae}k and Kirsten Frederiksen",
year = "2018",
month = nov,
day = "1",
doi = "10.1177/1049732318779046",
language = "English",
volume = "28",
pages = "2059--2070",
journal = "Qualitative Health Research",
issn = "1049-7323",
publisher = "Sage Publications, Inc.",
number = "13",

}

RIS

TY - JOUR

T1 - When Clock Time Governs Interaction

T2 - How Time Influences Health Professionals’ Intersectoral Collaboration

AU - Andersen, Anne Bendix

AU - Beedholm, Kirsten

AU - Kolbæk, Raymond

AU - Frederiksen, Kirsten

PY - 2018/11/1

Y1 - 2018/11/1

N2 - When setting up patient pathways that cross health care sectors, professionals in emergency units strive to fulfill system requirements by creating efficient patient pathways that comply with standards for length of stay. We conducted an ethnographic field study, focusing on health professionals’ collaboration, of 10 elderly patients with chronic illnesses, following them from discharge to their home or other places where they received health care services. We found that clock time not only governed the professionals’ ways of collaborating, but acceleration of patient pathways also became an overall goal in health care delivery. Professionals’ efforts to save time came to represent a “monetary value,” leading to speedier planning of patient pathways and consequent risks of disregarding important issues when treating and caring for elderly patients. We suggest that such issues are significant to the future planning and improvement of patient pathways that involve elderly citizens who are in need of intersectoral health care delivery.

AB - When setting up patient pathways that cross health care sectors, professionals in emergency units strive to fulfill system requirements by creating efficient patient pathways that comply with standards for length of stay. We conducted an ethnographic field study, focusing on health professionals’ collaboration, of 10 elderly patients with chronic illnesses, following them from discharge to their home or other places where they received health care services. We found that clock time not only governed the professionals’ ways of collaborating, but acceleration of patient pathways also became an overall goal in health care delivery. Professionals’ efforts to save time came to represent a “monetary value,” leading to speedier planning of patient pathways and consequent risks of disregarding important issues when treating and caring for elderly patients. We suggest that such issues are significant to the future planning and improvement of patient pathways that involve elderly citizens who are in need of intersectoral health care delivery.

KW - Ethnography

KW - Scandinavia

KW - chronic illness and disease

KW - culture of health care

KW - decision-making

KW - home care

KW - older people

KW - qualitative

KW - social constructionism

UR - http://www.scopus.com/inward/record.url?scp=85048891818&partnerID=8YFLogxK

U2 - 10.1177/1049732318779046

DO - 10.1177/1049732318779046

M3 - Journal article

C2 - 29890884

VL - 28

SP - 2059

EP - 2070

JO - Qualitative Health Research

JF - Qualitative Health Research

SN - 1049-7323

IS - 13

ER -