000			02122nas a2200241Ia 4500
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022			_a0972-0634
100			_aLandstad, Bodil J. _9123321
245		0	_aMunicipal Acute Bed Units as a Health Service Innovation-A Qualitative Study
260			_bJournal of Health Management
260			_c2024
300			_a661-668
520			_aThe growing number of older individuals with complex needs and chronic illnesses is a major challenge to the health sector. This has led to a transfer of responsibilities from specialist to the primary healthcare sector. The aim of the study was to explore how healthcare professionals experience setting up and operating a municipal acute bed unit (MAU) in primary healthcare. Three focus groups of health professionals were recruited through purposeful sampling in 2019, and the 10 participants came from different professions. The study has a qualitative design with a hermeneutic approach. The findings identified three themes: (a) Strategic planning and coordinated services, (b) collaborative practice and learning and (c) flexible and family-centred care. The healthcare personnel experienced strengthened quality in the health services, improved work processes and increased safety for patients with relevant diagnoses. The interplay between internal and external factors seems to have been a successful innovation in planning and implementing an MAU in a medical facility in Mid-Norway. We assessed that being prepared for challenges is an important part of innovation in health services. The presence of an inherent capital' to meet unforeseen challenges in the future should be a prerequisite for innovation.
650			_a Chronic Illnesses _9123322
650			_a Health Service Innovation _9123323
650			_a Medical Facility _9123324
650			_aMunicipal Acute Bed Units _9123325
700			_a Hole, Torstein _9123326
700			_a Kvangarsnes, Marit _9123327
700			_a Strand, Aasta Marie Sveino _9123328
700			_a Walderhaug, Nancy _9123329
856			_uhttps://doi.org/10.1177/09720634241235511
999			_c134488 _d134488