Helgesen Marit Kristine, Ramsdal Helge
Østfold University College, NO.
Int J Integr Care. 2022 May 13;22(2):12. doi: 10.5334/ijic.5710. eCollection 2022 Apr-Jun.
The paper discusses the implementation of a digital workspace to facilitate collaboration in health and social services for vulnerable children and adolescents in eight Norwegian municipalities. The purpose of the workspace is to enhance collaboration independent of space and time. Collaborating services are schools, kindergartens, school health services, educational services and child welfare services.
The data analysed are from semi-structured interviews with project leaders in primary care, responses of primary care professionals to open questions in a survey, and results from two questions in three subsequent surveys.
Project leaders held great expectations of increased collaboration. Variations were found regarding how far the implementation of a new workspace precluded previous methods of collaboration and whether retaining a familiar workspace necessitated strengthening resources to negotiate using the workspace. Organisational and professional cultures hindered the implementation of the workspace.
Interrelated barriers to collaboration were found at the professional, organisational and systemic levels. Some professionals could adapt the workspace to their existing tasks while others could not. Primary care providers need to strengthen their organisations while implementing the workspace.
Concerted action at national and municipal level is needed to successfully implement digital tools.
本文讨论了在挪威八个市政当局中为弱势儿童和青少年实施数字工作区以促进健康和社会服务协作的情况。该工作区的目的是加强不受空间和时间限制的协作。协作服务包括学校、幼儿园、学校卫生服务、教育服务和儿童福利服务。
分析的数据来自对初级保健项目负责人的半结构化访谈、初级保健专业人员对调查中开放性问题的回答以及随后三次调查中两个问题的结果。
项目负责人对加强协作寄予厚望。在新工作区的实施在多大程度上排除了以前的协作方式，以及保留熟悉的工作区是否需要加强使用该工作区进行协商的资源方面发现了差异。组织文化和专业文化阻碍了工作区的实施。
在专业、组织和系统层面发现了相互关联的协作障碍。一些专业人员可以使工作区适应他们现有的任务，而另一些则不能。初级保健提供者在实施工作区时需要加强其组织。
需要在国家和市政层面采取协调一致的行动，以成功实施数字工具。
