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Tuberculosis care in Stockholm: An organizational analysis based on staff perception
Södertörn University, School of Natural Sciences, Technology and Environmental Studies.
2013 (English)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

In an increasingly more interconnected world, the importance of epidemiology in public and international health is rapidly increasing. Tuberculosis is one of the diseases that contributes to this, as its lengthy incubation time and annual high mortality count makes it one of the toughest bacteria for the medical community to combat. Sweden is today a low-endemic region but still suffers a number of cases each year. The majority of these infections have occurred abroad.

This qualitative study aims evaluate the Swedish healthcare systems organizational structure in relation to the treating and tracking of tuberculosis. Key personnel from several different units working with diagnosing, treating and tracking of tuberculosis have been interviewed about their perception regarding the organizational structure. The data have been analyzed through H. Mintzbergs theoretical framework regarding organizational structure. The analysis shows that the current system can be described as an Adhocracy. The organization is highly capable of handling adjustment and producing unique and complex outputs in the form of individualized treatment plans and disease tracking efforts. However, the system is highly dependent on internal communication and has great difficulty in up-scaling and expanding. The study shows that the current system would be challenged by a sharp increase in tuberculosis-cases in Stockholm.

Abstract [sv]

I en alltmer sammankopplad värld så får epidemiologin en ökad betydelse i folk- och internationell hälsa. Tuberkulos är en av de sjukdomarna som ligger bakom detta. Dess långa inkubationstid och höga dödstal gör att är en av de svåraste bakteriesjukdomarna att få bukt med. Sverige är idag ett låg-endemiskt land men drabbas ändå av ett par hundra fall per år. Majoriteten av dess infekteras i utland och reser sedan in i Sverige.

Denna kvalitativa studie har som mål att utvärdera det svenska hälsovårdssystemet utifrån dess organisatoriska struktur. Datainsamlandet har skett via intervjuer med nyckelpersoner inom tuberkulos-vården kring deras uppfattning om den organisatoriska strukturen. Dessa har varit inblandade i att diagnostisera, behandla och smittospåra tuberkulos patienter. Denna data har sedan analyserat utifrån H.Mintzbergs teorier kring organisationsstruktur. Analysen visar att det aktuella systemet har många likheter med modellen Adhocracy, på så sätt att det är en organisation som kan justeras på ett mycket detaljerat och följsamt sätt i en dynamisk kontext. Den kan också producera unika och komplexa produkter i form av skräddarsydda behandlingsplaner och smittspårningar. Systemet lider dock av ett stort behov av inre kommunikation och möter svårigheter när verksamheten utökas. Slutsatsen blir att det nuvarande systemet skulle ha stora utmaningar med att hantera en markant ökning av tuberkulos fall i Stockholm.

Place, publisher, year, edition, pages
2013. , 39 p.
Keyword [en]
Adhocracy, Disease tracking, Swedish health-care
Keyword [sv]
Adhocracy, smittspårning, svensk sjukvård
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:sh:diva-21866OAI: oai:DiVA.org:sh-21866DiVA: diva2:692802
Subject / course
International Health
Presentation
2014-01-10, MD251, Alfred Nobels allé 7, Huddinge, 09:00 (Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2014-02-03 Created: 2014-02-01 Last updated: 2014-02-03Bibliographically approved

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CiteExportLink to record
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