Change search
Refine search result
23367233682336923370233712337223373 1168451 - 1168500 of 1192541
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1168451.
    Åhag, Per
    et al.
    Mid Sweden University, Faculty of Science, Technology and Media, Department of Natural Sciences, Engineering and Mathematics.
    Czyz, Rafal
    Institute of Mathematics, Jagiellonian University, Łojasiewicza 6, 30-348 Kraków, Poland.
    An Inequality for the Beta Function with Application to Pluripotential Theory2009In: Journal of inequalities and applications (Print), ISSN 1025-5834, E-ISSN 1029-242X, Vol. 2009, article id 901397Article in journal (Refereed)
    Abstract [en]

    We prove in this paper an inequality for the beta function, and we give an application in pluripotential theory.

  • 1168452.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    Continuous pluriharmonic boundary values2007In: Annales Polonici Mathematici, ISSN 0066-2216, E-ISSN 1730-6272, Vol. 91, p. 99-117Article in journal (Refereed)
  • 1168453.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    Kolodziej's subsolution theorem for unbounded pseudoconvex domains2012In: Universitatis Iagellonicae Acta Mathematica, ISSN 0083-4386, 2084-3828, Vol. 50, p. 7-23Article in journal (Refereed)
    Abstract [en]

    In this paper we generalize Kolodziej's subsolution theorem to bounded and unbounded pseudoconvex domains, and in that way we are able to solve complex Monge-Ampère equations on general pseudoconvex domains. We then give a negative answer to a question of Cegrell and Kolodziej by constructing a compactly supported Radon measure µ that vanishes on all pluripolar sets in Cn such that µ(Cn) = (2π)n, and forwhich there is no function u in L+ such that (ddcu)=µ. We end this paper by solving a Monge-Ampère type equation. Furthermore, we proveuniqueness and stability of the solution.

  • 1168454.
    Åhag, Per
    et al.
    Department of Natural Sciences, Engineering and Mathematics, Mid Sweden University, SE-871 88 Härnösand, Sweden.
    Czyz, Rafal
    Institute of Mathematics, Jagiellonian University, Łojasiewicza 6, 30-348 Kraków, Poland.
    Modulability and duality of certain cones in pluripotential theory2010In: Journal of Mathematical Analysis and Applications, ISSN 0022-247X, E-ISSN 1096-0813, Vol. 361, no 2, p. 302-321Article in journal (Refereed)
    Abstract [en]

    Let p>0, and let Ep denote the cone of negative plurisubharmonic functions with finite pluricomplex p-energy. We prove that the vector space δEp=EpEp, with the vector ordering induced by the cone Ep is σ-Dedekind complete, and equipped with a suitable quasi-norm it is a non-separable quasi-Banach space with a decomposition property with control of the quasi-norm. Furthermore, we explicitly characterize its topological dual. The cone Ep in the quasi-normed space δEp is closed, generating, and has empty interior.

  • 1168455.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    On the Blocki-Zwonek conjectures2015In: Complex Variables and Elliptic Equations, ISSN 1747-6933, E-ISSN 1747-6941, Vol. 60, no 9, p. 1270-1276Article in journal (Refereed)
    Abstract [en]

    Let Omega be a bounded pseudoconvex domain in C-n, and let g(Omega) (z, a) be the pluricomplex Green function with pole at a in Omega. It was conjectured by Blocki and Zwonek that the function given by beta = beta(Omega),(a) : (-infinity, 0) (sic) t -> beta(t) = log (lambda(n)({z is an element of Omega g(Omega) (z, a) < t})) is convex. Here.n is the Lebesgue measure in Cn. In this note we give an affirmative answer to this conjecture when Omega is biholomorphic to the unit ball or to the polydisc in C-n, n >= 1.

  • 1168456.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    On the Cegrell classes2007In: Mathematische Zeitschrift, ISSN 0025-5874, E-ISSN 1432-1823, Vol. 256, p. 243-264Article in journal (Refereed)
  • 1168457.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    On the Dirichlet problem in the Cegrell classes2004In: Annales Polonici Mathematici, ISSN 0066-2216, E-ISSN 1730-6272, Vol. 84, p. 273-279Article in journal (Refereed)
  • 1168458.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    The connection between the Cegrell classes and compliant functions2006In: Mathematica Scandinavica, ISSN 0025-5521, E-ISSN 1903-1807, Vol. 99, p. 87-98Article in journal (Refereed)
  • 1168459.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    Hed, Lisa
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    The Geometry of m-Hyperconvex Domains2018In: Journal of Geometric Analysis, ISSN 1050-6926, E-ISSN 1559-002X, Vol. 28, no 4, p. 3196-3222Article in journal (Refereed)
    Abstract [en]

    We study the geometry of m-regular domains within the Caffarelli–Nirenberg–Spruck model in terms of barrier functions, envelopes, exhaustion functions, and Jensen measures. We prove among other things that every m-hyperconvex domain admits an exhaustion function that is negative, smooth, strictly m-subharmonic, and has bounded m-Hessian measure.

  • 1168460.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    Lodin, Sam
    Wikström, Frank
    Plurisubharmonic extension in non-degenerate analytic polyhedra2007In: Univ. Iagel. Acta Math., Vol. 45, p. 139-145Article in journal (Refereed)
  • 1168461.
    Åhag, Per
    et al.
    Mid Sweden University, Faculty of Science, Technology and Media, Department of Engineering, Physics and Mathematics.
    Czyz, Rafal
    Lodin, Sam
    Mid Sweden University, Faculty of Science, Technology and Media, Department of Engineering, Physics and Mathematics.
    Wikström, Frank
    Mid Sweden University, Faculty of Science, Technology and Media, Department of Engineering, Physics and Mathematics.
    Plurisubharmonic extension in non-degenerate analytic polyhedra2007In: Universitatis Iagellonicae Acta Mathematica, ISSN 0860-0120, no 45, p. 139-145Article in journal (Refereed)
    Abstract [en]

    Let $mathcal{P}$ be a connected, non-degenerate analytic polyhedron in $mathbb{C}^n$, $ngeq 2$. In this note we characterize those continuous functions which can be extended to a plurisubharmonic function in $mathcal{P}$.

  • 1168462.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    Lundow, Per-Håkan
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    A counterexample to a conjecture by Blocki-Zwonek2018In: Experimental Mathematics, ISSN 1058-6458, E-ISSN 1944-950X, Vol. 27, no 1, p. 119-124Article in journal (Refereed)
  • 1168463.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyz, Rafal
    Persson, Leif
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Radially symmetric plurisubharmonic functions2012In: Annales Polonici Mathematici, ISSN 0066-2216, E-ISSN 1730-6272, Vol. 106, p. 1-17Article in journal (Refereed)
    Abstract [en]

    In this note we consider radially symmetric plurisubharmonic functions and the complex Monge–Ampère operator. We prove among other things a complete characterization of unitary invariant measures for which there exists a solution of the complex Monge–Ampère equation in the set of radially symmetric plurisubharmonic functions. Furthermore, we prove in contrast to the general case that the complex Monge–Ampère operator is continuous on the set of radially symmetric plurisubharmonic functions. Finally we characterize radially symmetric plurisubharmonic functions among the subharmonic ones using merely the laplacian.

  • 1168464. Åhag, Per
    et al.
    Czyz, Rafal
    Phạm, Hoàng Hiệp
    Umeå University, Faculty of Science and Technology, Mathematics and Mathematical Statistics.
    Concerning the energy class εp for 0 < p < 12007In: Annales Polonici Mathematici, ISSN 0066-2216, Vol. 91, no 2-3, p. 119-130Article in journal (Refereed)
  • 1168465.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyż, Rafał
    On the Blocki-Zwonek conjectures and beyond2015In: Archiv der Mathematik, ISSN 0003-889X, E-ISSN 1420-8938, Vol. 105, no 4, p. 371-380Article in journal (Refereed)
    Abstract [en]

    Let \({\Omega}\) be a bounded pseudoconvex domain in \({\mathbb{C}^n}\), and let \({g_{\Omega}(z,a)}\) be the pluricomplex Green function with pole at a in \({\Omega}\). Błocki and Zwonek conjectured that the function given by $$\begin{array}{ll}\alpha = \alpha_{\Omega}, a: (- \infty, 0) \ni t \mapsto \alpha (t) = e^{-2nt} \lambda_n \left( \{z \in \Omega: g_{\Omega}(z, a) < t \} \right)\end{array}$$ is nondecreasing, and that the function given by $$\begin{array}{ll}\beta = \beta_{\Omega}, a: (-\infty, 0) \ni t \to \beta(t)= \log \left(\lambda_n \left(\{z \in \Omega: g_{\Omega}(z,a)< t\}\right)\right)\end{array}$$ is convex. Here \({\lambda_{n}}\) is the Lebesgue measure in \({\mathbb{C}^n}\). In this note we give an affirmative answer to these conjectures when \({\Omega}\) is biholomorphic to a bounded, balanced, and pseudoconvex domain in \({\mathbb{C}^n}\), \({n\geq 1}\). The aim of this note is to consider generalizations of the functions \({\alpha}\), \({\beta}\) defined by the Green function with two poles in \({\mathbb{D}\subset\mathbb{C}}\). We prove that \({\alpha}\) is not nondecreasing, and \({\beta}\) is not convex. By using the product property for pluricomplex Green functions, we then generalize this to n-dimensions. Finally, we end this note by considering two other possibilities generalizing the Błocki–Zwonek conjectures.

  • 1168466.
    Åhag, Per
    et al.
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Czyż, Rafał
    Hed, Lisa
    Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
    Extension and approximation of m-subharmonic functions2018In: Complex Variables and Elliptic Equations, ISSN 1747-6933, E-ISSN 1747-6941, Vol. 63, no 6, p. 783-801Article in journal (Refereed)
    Abstract [en]

    Let  be a bounded domain, and let f be a real-valued function defined on the whole topological boundary . The aim of this paper is to find a characterization of the functions f which can be extended to the inside to a m-subharmonic function under suitable assumptions on . We shall do so using a function algebraic approach with focus on m-subharmonic functions defined on compact sets. We end this note with some remarks on approximation of m-subharmonic functions.

  • 1168467.
    Åhagen, Marcus
    et al.
    University West, Department of Economics and IT, Divison of Law, Economics, Statistics and Politics.
    Nilsson, Johan
    University West, Department of Economics and IT, Divison of Law, Economics, Statistics and Politics.
    Gendered Rhetoric in the UN General Assembly?: The Rhetorical Styles of Male and Female Representatives of Sweden and the United States2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    During the last few decades the academic re-gendering has reached the field of rhetorical discourse and differences of speech and rhetoric has been determined. Another gender shift has occurred during the last few decades in the appointments of foreign policy representatives, from being one of the last patriarchal strongholds the change towards equality has been remarkably swift. However, the norms of masculinity and formality within the sphere of foreign policy are still persistent. The first aim of this thesis was to determine if the rhetorical style of men and women differed even in a context heavily laden with norms, such as the UNGA. The secondary aim is based upon the concept of masculinity and femininity in culture, to determine if the gender of culture influenced the speaker’s rhetorical style, even in the UNGA. This thesis generates its own theoretical framework from the works of rhetoric and linguistics to separate masculine and feminine rhetorical style. The method used is a qualitative textual analyze applied to transcribed speeches held by Swedish and U.S. representatives in UNGA. The analysis proved that there is a difference in rhetorical style between genders and culture, even in a context such as the UNGA, but only a small one.

  • 1168468.
    Åhdén, Malin
    Mälardalen University, School of Education, Culture and Communication.
    Performansanalysen som hjälpmedel vid bedömning: En kvantitativ studie som belyser kursen Svenska som andraspråk på grundläggande nivå2014Independent thesis Basic level (degree of Bachelor), 60 credits / 90 HE creditsStudent thesis
    Abstract [sv]

    Uppsatsens syfte är att studera skillnaden mellan ett godkänt och ett underkänt betyg i kursen Svenska som andraspråk på grundläggande nivå enligt performansanalysen och konkretisera, belysa och tydliggöra denna skillnad. Metoden är kvalitativ i det avseende att undersökningen endast fokuserar en bedömande lärare och två elevgrupper. Den är kvantitativ i det avseende att den i ett större antal texter synliggör en generell bild av betyget E. Uppsatsen har också en abduktiv ansats då den utifrån ett cirkulärt förhållningssätt rört sig mellan litteratur och data. Materialet består av 52 elevtexter, varav 31 med betyget E och 21 med betyget F. Resultaten visar att det finns ett tydligt samband mellan texternas komplexitet, sett genom performansanalysen och de betyg som texterna fått. Genom performansanalysen kan betygen konkretiseras och motiveras. Uppsatsens slutsats är att performansanalysen kan hjälpa lärare hjälpa eleverna att bli ägare av sin egen kunskapsinhämtning genom formativ bedömning och ett tydliggörande av språkets brister och förtjänster genom performansanalysen. Undersökningen visade också vilka grammatiska krav som ställs på en godkänd text och frekvensen av dessa. Generellt sett är det grammatikens påverkan på förståelsen av innehållet som förefaller vara det centrala, vilket har konkretiserats i uppstasen.

  • 1168469.
    Åhfelt, Roger
    Swedish National Defence College.
    Luftvärnet ett organisatoriskt dilemma: En jämförelse mellan svensk och norsk utveckling2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Luftvärnets organisationstillhörighet är en historiskt återkommande fråga där olika lösningar genom tiderna går att finna i Sverige såväl som internationellt. Den här uppsatsen avser att jämföra Sveriges och Norges olika val av tillhörighet för det markbaserade luftvärnet. Syftet är att bidra till förklaringen varför vi har olika organisatoriska lösningar och analysera huruvida det finns några incitament för att se över dagens organisation. Undersökningen har genomförts genom att studera Sveriges och Norges luftvärnsutveckling, med stöd av organisationsteori, för att finna bakomliggande faktorer för val av organisation.

    Jämförelsen påvisar flera skillnader i ländernas luftvärnsutveckling som kan ge förklaringskraft till organisationsvalet. Den mest utmärkande skillnaden avser prioriteringen av skyddsvärda objekt. I Norge har flygbaserna genom tiderna varit särskilt högt prioriterade medan Sverige prioriterat markstridsförbanden. Tidiga val av organisationsprincip syns ha bärighet över tiden.

    Dagens fortsatta bredd på uppgifter till trots av minimerade resurser gör att en tydligare prioritering av skyddsobjekt skulle kunna motivera en omvärdering av organisationstillhörighet. Historien påvisar dock att omfattande organisationsförändringar kan ge icke önskvärda effekter samt visa sig vara kortvarigt rationella. Det viktiga syns inte vara vilken organisation som väljs det viktiga är hur organisationen fungerar.

  • 1168470.
    Åhgren, Bengt
    Nordic School of Public Health.
    A method to access integrated health care2006In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 83, no Supplement, p. 71-74Article in journal (Refereed)
  • 1168471. Åhgren, Bengt
    Bäst när vårdkedja initieras underifrån2007In: Dagens samhälle, ISSN 1652-6511, no 24, p. 20-Article in journal (Other (popular science, discussion, etc.))
  • 1168472.
    Åhgren, Bengt
    Bohlin & Stromberg, a Solving International Company, Malmö.
    Chain of care development in Sweden: results of a national study2003In: International journal of integrated care, ISSN 1568-4156, Vol. 3, p. e01-Article in journal (Refereed)
    Abstract [en]

    Chains of Care are today an important counterbalance to the ever-increasing fragmentation of Swedish health care, and the ongoing development work has high priority. Improved quality of care is the most important reason for developing Chains of Care. Despite support in the form of goals and activity plans, seven out of ten county councils are uncertain whether they have been quite successful in the development work. Strong departmentalisation of responsibilities between different medical professions and departments, types of responsibilities and power still remaining in the vertical organisation structure, together with limited participation from the local authorities, are some of the most commonly mentioned reasons for the lack of success. Even though there is hesitation regarding the development work up to today, all county councils will continue developing Chains of Care. The main reason is, as was the case with Chain of Care development up to today, to improve quality of care. Although one of the main purposes is to make health care more patient-focused, patients in general seem to have limited impact on the development work. Therefore, the challenge is to design Chains of Care, which regards patients as partners instead of objects.

  • 1168473.
    Åhgren, Bengt
    Nordic School of Public Health.
    Chains of care are here to stay2003Conference paper (Other academic)
  • 1168474.
    Åhgren, Bengt
    Nordic School of Public Health.
    Chains of Care provide structure to fragmented health care2003Conference paper (Other academic)
  • 1168475.
    Åhgren, Bengt
    Nordic School of Public Health.
    Competition and integration in Swedish health care2010In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 96, no 2, p. 91-97Article in journal (Refereed)
    Abstract [en]

    Despite of an insignificant track record of quasi-market models in Sweden, new models of this kind have recently been introduced in health care; commonly referred to as "choice of care". This time citizens act as purchasers; choosing the primary care centre or family physician they want to be treated by, which, in turn, generates a capitation payment to the chosen unit. Policy makers believe that such systems will be self-remedial, that is, as a result of competition the strong providers survive while unprofitable ones will be eliminated. Because of negative consequences of the fragmented health care delivery, policy makers at the same time also promote different forms of integrated health care arrangements. One example is "local health care", which could be described as an upgraded community-oriented primary care, supported by adaptable hospital services, fitting the needs of a local population. This article reviews if it is possible to combine this kind of integrated care system with a competition driven model of governance, or if they are incompatible. The findings indicate that some choice of care schemes could hamper the development of integration in local health care. However, geographical monopolies like local health care, enclosed in a noncompetitive context, lack the stimulus of competition that possibly improves performance. Thus, it could be argued that if choice of care and local health care should be combined, patients ought to choose between integrated health care arrangements and not among individual health professionals. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

  • 1168476.
    Åhgren, Bengt
    Nordic School of Public Health.
    Competition-exposed integration: an impossible composition?2013In: What healthcare can we afford?: Better, quicker, lower cost health services, 2013, p. 106-Conference paper (Other academic)
    Abstract [en]

    Context

    Swedish health care, like many other health care systems, is in a constant development mode to meet never-ending demands for improved efficiency and quality. Competitive and integrative policies are for example concurrently introduced in Swedish primary care; citizens‘ choice of primary care is launched while primary care is expected to integrate its activities with other providers for the creation of =local health care‘. Competition has though a tendency fragment the provision of services. The aim of this study is therefore to explore whether or not these two strategies are compatible in practice.

    Methods

    Group interviews were conducted at four locations in Sweden. The groups included persons aged between 20 and 45 years, 46 and 64 years and 65 years or over. The interviewees were living either in a big town or in a small community. Altogether, 21 randomly selected individuals participated in the group interviews. A deductive approach was chosen: six question topics were formulated with guidance from a theoretical framework about choice of care. The group interviews were thus semistructured without any predetermined codes. Each group interview took between 1 and 1.5 h to complete. Moreover, the conversations were recorded and transcribed as verbatim reports. As a consequence of the deductive approach, directed content analysis was chosen for the analysis of the group conversations.

    Results

    Choice of care is executed from the perspectives of being a prospective or current patient, which, in practice, imply choices are performed passive and active respectively. If the later group perceive interpersonal continuity, accessibility and demeanour of health professionals as favourable, they remain faithful to their actively chosen provider. The only condition that seems to trigger this group of patients to reconsider their choices is if they been the subject of bad manners. Those executing passive choices are less faithful to their original choice. When these former prospective patients, often younger persons, are in need of primary care they often disregard their choice if waiting times are shorter at other providers. This group generally prefer accessible service and seldom consider where it is provided. The group of passive choices also include citizens accepting suggestions presented by the authorities, founded on the conviction that ―they know what is best for me.

    Discussion

    Many patients that have made active choices are thus faithful to their choices. This is rare in a consumer-market, which is characterized by high degree of exchangeability of providers; a condition which by and large corresponds with the attitude of those making passive choices. Nevertheless, a majority of patients stay with their choice of provider, often selected among a limited number of options. Moreover, health care providers and patients have long-term relationships, which is typical of a producer-market. In other words, if politicians strive for a competition-exposed primary care, the competition concept ought not to be founded on the theories of a consumer-market. The principles of a producer-market seem instead to be more applicable, which imply that providers will be competitive if they are able to build stable relations with their patients, which, in turn, facilitate for integrative arrangements among health care providers.

  • 1168477.
    Åhgren, Bengt
    Nordic School of Public Health.
    Creating Integrated Care: Evaluation and Management of Local Care in Sweden2007In: Journal of Integrated Care, ISSN 1476-9018, Vol. 15, no 6, p. 14-21Article in journal (Refereed)
    Abstract [en]

    It seems impossible to create a comprehensive evaluation model which fully takes into account the multi-dimensional context of integrated health and social care. Clinical integration, as a prerequisite for efficient outcomes of integration, must nonetheless get special attention. For more extensive evaluations, a quality chain matrix, including co-operating acts by different providers, has proven to be useful. Examples of evaluated services in Sweden are given, and the management benefits of the use of evaluation data are highlighted.

  • 1168478.
    Åhgren, Bengt
    Nordic School of Public Health.
    Creating integrated health care2007In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 7, no Oct-Dec, p. e38-Article in journal (Other academic)
  • 1168479.
    Åhgren, Bengt
    Nordic School of Public Health.
    Dissolving the Patient Bermuda Triangle2010In: International Journal of Care Coordination, ISSN 2053-4354, Vol. 14, no 4, p. 137-141Article in journal (Refereed)
    Abstract [en]

    The differentiation of roles, tasks and responsibilities in health care has gradually increased because of efforts to decentralize, specialize and professionalize our health-care systems. These development approaches can on the one hand be regarded as successful, although there is also a negative flipside. Increased differentiation has concurrently fragmented the delivery of health care, which, in turn, can be divided into structural, clinical and cultural fragmentation. Patients are lost as a result of these conditions of fragmentation. This phenomenon can metaphorically be described as a ‘Patient Bermuda Triangle’. Actions to dissolve the Patient Bermuda Triangles are commonly termed ‘Integrated health care’, a global buzzword that includes integrated care pathway as well as other integrated health-care strategies. Moreover, integrated care is a means to an end: improved patient outcome. To achieve this, it is crucial to have necessary prerequisites in place: both functional and interactional conditions. This procedure seems to be an organic process where the stakeholders go through gradual changes until the optimum level of integration, as well as mutualistic interactions, is established. If these conditions are concealed or impossible to achieve, developmental work should be ended to avoid the evolvement of antagonistic relations between the stakeholders concerned. This state will likely establish a Patient Bermuda Triangle or reinforce an existing one.

  • 1168480.
    Åhgren, Bengt
    Nordic School of Public Health.
    Evaluering av tverrprofesjonelt samarbeid relatert til klinisk integrering2009In: Tverrprofesjonelt samarbeid / [ed] Elisabeth Willumsen, Universitetsforlaget, 2009, p. 139-152Chapter in book (Other academic)
  • 1168481.
    Åhgren, Bengt
    Nordic School of Public Health.
    Health Care Delivery System: Sweden2014In: The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society / [ed] William C. Cockerham & others, Wiley-Blackwell, 2014, p. 866-872Chapter in book (Refereed)
    Abstract [en]

    In Sweden it is a public sector duty to finance and facilitate the provision of health care. It is thus a “Beveridge” health care system. All residents have accordingly the right to obtain the publicly financed health care. The system is decentralized and includes 21 county councils and 290 municipalities. Furthermore, it rests on a democratic platform: each of these authorities is governed by a parliament, with its representatives elected for a four-year period at every general election.

  • 1168482.
    Åhgren, Bengt
    Nordic School of Public Health.
    Integrated care development in Sweden: state of the art and future challenges2008In: E-P-A newsletter, no Edition 4, p. 10-11Article in journal (Other academic)
  • 1168483.
    Åhgren, Bengt
    Nordic School of Public Health.
    Integration, not fragmentation2012In: Public service review. Health and social care, ISSN 2045-2357, no 31, p. 75-76Article in journal (Other academic)
  • 1168484. Åhgren, Bengt
    Intraprenad ett sätt att göra personalen delaktiga2005In: Dagens medicin, ISSN 1104-7488, no 34, p. 33-Article in journal (Other academic)
  • 1168485. Åhgren, Bengt
    Inventering av FoUU-kostnader inom hälso- och sjukvården i norrlandstingen2005Report (Other academic)
  • 1168486.
    Åhgren, Bengt
    Nordic School of Public Health.
    Is competition and integration incompatible conditions?2010Conference paper (Other academic)
  • 1168487.
    Åhgren, Bengt
    Nordic School of Public Health.
    Is it better to be big? The reconfiguration of 21st century hospitals: Responses to a hospital merger in Sweden2008In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 87, no 1, p. 92-99Article in journal (Refereed)
    Abstract [en]

    Objectives: Swedish hospital mergers seem to stem from a conviction among policy makers that bigger hospitals lead to lower average costs and improved clinical outcomes. The effects of mergers in the form of multisited hospitals have not been systematically evaluated. The purpose of this article is to contribute to this area of knowledge by exploring responses to the merger of Blekinge Hospital.

    Methods: The evaluation was guided by the philosophy of triangulation. A questionnaire was sent to 597 randomly selected employees, that is 24% of the health care staff. Four hundred ninety-eight employees answered the questionnaire, giving a response rate of 83%. Furthermore, interviews of different groups of stakeholders were conducted.

    Results: A moderate increase of quality was assessed, which, a low proportion of the employees perceived had decisively or largely to do with the merger. The majority perceives economical incentives as the drivers of change, but, at the same time, only 10% of this group believes this target was reached completely or to a large extent.

    Conclusions: The employees believe the merger has neither generated economy of scale advantages nor substantial quality improvement. Instead, it seems more rewarding to promote cross-functional collaboration together with clinical specialisation. Needs for both integration and differentiation could thereby be fulfilled. (c) 2008 Elsevier Ireland Ltd. All rights reserved.

  • 1168488. Åhgren, Bengt
    Kartläggning av akut- och ambulansverksamheten i Kronoberg2006Report (Other academic)
  • 1168489. Åhgren, Bengt
    Konkurrens och samverkan: oförenliga vårdpolitiska strategier2013In: Om samverkan: för utveckling av hälsa och välfärd / [ed] Runo Axelsson, Susanna Bihari Axelsson, Studentlitteratur AB, 2013, p. 107-118Chapter in book (Other academic)
  • 1168490. Åhgren, Bengt
    Konsekvensanalys av fyra scenarier om framtida akutverksamhet i Landstinget Kronoberg2007Report (Other academic)
  • 1168491. Åhgren, Bengt
    Managing and developing integrated care in Sweden: the unbroken chain of care2005In: Managing integrated care for older persons: European perspectives and good practices / [ed] Marja Vaarama and Richard Pieper, Helsinki: Stakes & EHMA , 2005, p. 180-199Chapter in book (Other academic)
  • 1168492.
    Åhgren, Bengt
    Nordic School of Public Health.
    Mutualism and antagonism within organisations of integrated health care2010In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 24, no 4, p. 396-411Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The purpose of this paper is to explore the concepts of Swedish integrated health care, their state of development and interdependence, and, furthermore, evaluate whether the theoretical framework used improves the comprehension of why integrated health care arrangements endure or cease.

    DESIGN/METHODOLOGY/APPROACH: The study is founded on descriptive data gathered from a literature search on integrated health care in Sweden. With inspiration from ecology theory, these data were analysed guided by a theoretical model based on a continuum of symbiotic effects, from antagonism to mutualism.

    FINDINGS: The era of Swedish integrated health care started in the 1990s, when a kind of clinical network called chains of care was launched. At the beginning the chain of care development was predominantly surrounded by non-integrative conditions, which had a restraining effect on these efforts. Even so, it seems that chains of care are here to stay. This faith in chains of care can to some extent be explained by the crucial role they have as connectors in the emerging local health care systems. Thus, these systems need chains of care to evolve and chains of care seem to require the integrative framework of local health care to progress and endure. Integrated health care performance could be troublesome, unless such mutualistic conditions are in place. States of commensalism may also be promoted, but the advantages are unilateral and therefore there is a risk of disloyalty by the unaffected part, which, in turn, can create a breeding-ground for an antagonistic liaison.

    ORIGINALITY/VALUE: A theoretical approach founded on what may be called "Health Care System Ecology" appears to enhance the understanding of the complex logic of integrated health care.

  • 1168493. Åhgren, Bengt
    Mätningar av integration kan underlätta förändring2006In: Dagens medicin, ISSN 1104-7488, no 12, p. 39-Article in journal (Other academic)
  • 1168494. Åhgren, Bengt
    Närvård/närsjukvård: specialistvårdens omfattning på ön2007Report (Other academic)
  • 1168495.
    Åhgren, Bengt
    Nordic School of Public Health.
    Patient choice and health care integration: a review of the consistency between two Swedish policy concepts2010In: International Journal of Integrated Care: Volume 10, 6 December 2010, 2010Conference paper (Other academic)
    Abstract [en]

    Purpose: Despite of an insignificant track record of quasi market models in Sweden, new models of this kind have recently been introduced in health care; commonly referred to as ‘choice of care’. This time citizens act as purchasers; choosing the primary care centre or family physician they want to be treated by, which, in turn, generates a capitation payment to the chosen unit. Policy makers believe that such systems will be self-remedial, that is, as a result of competition the strong providers survive while unprofitable ones will be eliminated. Because of negative consequences of the fragmented health care delivery, policy makers at the same time also promote different forms of integrated health care arrangements. One example is ‘local health care’, which could be described as an upgraded community-oriented primary care, supported by adaptable hospital services, fitting the needs of a local population. This paper reviews if it is possible to combine this kind of integrated care system with a competition driven model of governance, or if they are incompatible.

    Theory: Inter-organisational and interprofessional collaboration, accessibility of services, and provider continuity.

    Method: Literature-based review.

    Results and conclusions: The findings indicate that some choice of care schemes could hamper the development of integration in local health care. However, geographical monopolies like local health care, enclosed in a non-competitive context, lack the stimulus of competition that possibly improves performance. Thus, it could be argued that if choice of care and local health care should be combined, patients ought to choose between integrated health care arrangements and not among individual health professionals.

  • 1168496.
    Åhgren, Bengt
    Nordic School of Public Health, Göteborg, Sweden.
    The Art of Integrating Care: Theories Revisited2012In: Open Public Health Journal, ISSN 1874-9445, Vol. 5, p. 36-39Article in journal (Refereed)
    Abstract [en]

    Integration of care is high on public health agendas all around the world. The development and implementation of integrative arrangements has been promoted for more or less two decades. Despite this every so often extensive history, there are recognised needs to take research into areas yet poorly explored, which include measures and outcomes of integrated care. On the other hand, existing evidence and knowledge can probably become more ennobled and thereby contribute to a deeper understanding of the compound art of integrating of health care services. Accordingly, the aim of this article is to re-evaluate and synthesise some revisited theories for the facilitation of sustainable integrated care solutions.

    This exploration shows it is important to have crucial prerequisites for integration in place: both functional and interactional conditions. This appears to be an organic process where the stakeholders go through gradual changes until the optimum level of integration as well as mutualistic interactions are established.

    It could be argued that refined knowledge could be excerpted from existing research. Then again, this strategy does not exclude actions for new research in poorly explored areas. Both approaches are important for the development of sustainable integrated care.

  • 1168497.
    Åhgren, Bengt
    Nordic School of Public Health.
    The mutualism between chains of care and local care2008In: International Journal of Integrated Care – Vol. 8, 4 June 2008, 2008, p. e13-Conference paper (Other academic)
    Abstract [en]

    Introduction

    There is a growing interest in compensating for the fragmented delivery of care by promoting integrated care. This movement is a feature of national and local policy, and it is being supported and encouraged amongst care providers.

    Aims

    Discuss the concepts of Swedish integrated care and their impact on care delivery systems.

    Results

    The chain of care concept is commonly regarded as a means to make a care delivery system better adapted to the needs of patients. In many county councils, this transformation is supported by policies focusing on quality and comprehensiveness. Despite several years of experience, a vast majority of the county councils regard themselves as unsuccessful in developing chains of care.

    In addition, many county councils have changed their delivery systems during recent years and implemented ‘Local Care’, an upgraded family- and community-oriented primary care supported by a flexible hospital system. It is unusual to find a high degree of organisational cohesiveness in the implementation of local care. Instead these solutions are in many cases supposed to be built on chains of care.

    Conclusions

    Chains of care are increasingly regarded as building stones of local care, which means that chains of care are embraced in a context and by conditions more favourable than former non-integrative care delivery systems. In this sense, chains of care may have a renaissance, after assuredly being high on the policy agendas but with several years of modest development results. Thus, local care needs chains of care to evolve and chains of care need the integrative framework of local care to sustain.

  • 1168498. Åhgren, Bengt
    Utvärdering av Blekingesjukhuset2005Report (Other academic)
  • 1168499. Åhgren, Bengt
    Utvärdering av integration inom närsjukvård2007In: Folkhälsa i samverkan mellan professioner, organisationer och samhällssektorer / [ed] Runo Axelsson och Susanna Bihari Axelsson, Studentlitteratur AB, 2007, p. 305-321Chapter in book (Other academic)
  • 1168500.
    Åhgren, Bengt
    Nordic School of Public Health.
    Utvärdering av samverkan2007Conference paper (Other academic)
23367233682336923370233712337223373 1168451 - 1168500 of 1192541
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf