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Sweden’s Esther Model: Improving Care for Elderly Patients with Complex Needs
| Content Provider | Semantic Scholar |
|---|---|
| Author | Gray, Bradford H. Winblad, Ulrika Sarnak, Dana O. |
| Copyright Year | 2016 |
| Abstract | INTRODUCTION Elderly patients with complex care needs may receive services from multiple specialists, as well as primary care physicians. In addition, they may visit emergency departments, have frequent hospitalizations and post-hospital rehabilitations, and receive long-term care services at their home or in nursing facilities. Jönköping County in Sweden focused on improving care coordination and the experiences of elderly patients through the “Esther model.” This case study describes the model and summarizes available evidence about its impact based on published materials and interviews with program leaders in Jönköping and Stockholm. Care coordination in Sweden is complicated by a legal structure that gives the country’s 21 counties responsibility for funding and providing hospital and physician services while the 290 municipalities are responsible for funding and providing community care. Home health care—largely nursing services for sick patients—and home care (e.g., assistance with activities of daily living) are provided by different professionals. The Esther model was developed in the Höglandet (Highland) region (population: 110,000) to improve the care of elderly people with complex To learn more about new publications when they become available, visit the Fund’s website and register to receive email alerts. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.diva-portal.org/smash/get/diva2:1139008/FULLTEXT01.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
