Priority Setting in Norwegian Municipal and Health Care Services: A Thematic Analysis of Public Consultation Documents
Background: Despite Norwayʼs long history of open priority setting in healthcare, formal priority setting in municipal health and care services had been lacking prior to the publication of a Norwegian official report (English: Green paper, Norwegian: NOU) on the topic in 2018 (the Blankholm report)....
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| Format: | Article |
| Language: | Norwegian |
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Scandinavian University Press
2024-10-01
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| Series: | Tidsskrift for Omsorgsforskning |
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| Online Access: | https://www.idunn.no/doi/10.18261/tfo.10.2.9 |
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| author | Marius L. Torjusen Eli Feiring Mathias Barra Nina Køpke Vøllestad Carl Tollef Solberg |
| author_facet | Marius L. Torjusen Eli Feiring Mathias Barra Nina Køpke Vøllestad Carl Tollef Solberg |
| author_sort | Marius L. Torjusen |
| collection | DOAJ |
| description | Background: Despite Norwayʼs long history of open priority setting in healthcare, formal priority setting in municipal health and care services had been lacking prior to the publication of a Norwegian official report (English: Green paper, Norwegian: NOU) on the topic in 2018 (the Blankholm report). This article examines the reception of the reportʼs proposals from different stakeholders. Methods: We analysed 123 public consultation documents on the Blankholm report using a combined deductive and inductive thematic analysis. The consultation bodies represented the views of stakeholders, including patient and professional organisations, directorates, academic institutions, hospitals, and municipalities. Results: Our analysis resulted in two main themes: 1) Concerns about whether the proposed criteria are fit for purpose and 2) Concerns about infringing upon the principle of municipal autonomy and scepticism regarding whether the proposed priority setting process will enhance municipal services. Conclusion: Although there is acceptance for the necessity of priority setting, several issues remain. These issues relate to the proposalsʼ lack of definition, the complexity of municipal health and care services, and a distrust between municipalities and the central government. |
| format | Article |
| id | doaj-art-26ce57d5e01943cea8b2d5639d42aa16 |
| institution | DOAJ |
| issn | 2387-5976 2387-5984 |
| language | Norwegian |
| publishDate | 2024-10-01 |
| publisher | Scandinavian University Press |
| record_format | Article |
| series | Tidsskrift for Omsorgsforskning |
| spelling | doaj-art-26ce57d5e01943cea8b2d5639d42aa162025-08-20T03:17:57ZnorScandinavian University PressTidsskrift for Omsorgsforskning2387-59762387-59842024-10-0110212413710.18261/tfo.10.2.9Priority Setting in Norwegian Municipal and Health Care Services: A Thematic Analysis of Public Consultation DocumentsMarius L. Torjusen0Eli Feiring1Mathias Barra2Nina Køpke Vøllestad3Carl Tollef Solberg4The Health Services Research Unit – HØKH, Akershus University Hospital. Institute of Health and Society, University of Oslo.Department of Health Management and Health Economics, University of OsloThe Health Services Research Unit – HØKH, Akershus University HospitalDepartment for Interdisciplinary Health Sciences, University of OsloCentre for Medical Ethics, University of Oslo. Adjunct Professor (full), University of Southern Denmark (SDU).Background: Despite Norwayʼs long history of open priority setting in healthcare, formal priority setting in municipal health and care services had been lacking prior to the publication of a Norwegian official report (English: Green paper, Norwegian: NOU) on the topic in 2018 (the Blankholm report). This article examines the reception of the reportʼs proposals from different stakeholders. Methods: We analysed 123 public consultation documents on the Blankholm report using a combined deductive and inductive thematic analysis. The consultation bodies represented the views of stakeholders, including patient and professional organisations, directorates, academic institutions, hospitals, and municipalities. Results: Our analysis resulted in two main themes: 1) Concerns about whether the proposed criteria are fit for purpose and 2) Concerns about infringing upon the principle of municipal autonomy and scepticism regarding whether the proposed priority setting process will enhance municipal services. Conclusion: Although there is acceptance for the necessity of priority setting, several issues remain. These issues relate to the proposalsʼ lack of definition, the complexity of municipal health and care services, and a distrust between municipalities and the central government.https://www.idunn.no/doi/10.18261/tfo.10.2.9Primary carefirst-line carelong-term careregional servicesnursingcoping |
| spellingShingle | Marius L. Torjusen Eli Feiring Mathias Barra Nina Køpke Vøllestad Carl Tollef Solberg Priority Setting in Norwegian Municipal and Health Care Services: A Thematic Analysis of Public Consultation Documents Tidsskrift for Omsorgsforskning Primary care first-line care long-term care regional services nursing coping |
| title | Priority Setting in Norwegian Municipal and Health Care Services: A Thematic Analysis of Public Consultation Documents |
| title_full | Priority Setting in Norwegian Municipal and Health Care Services: A Thematic Analysis of Public Consultation Documents |
| title_fullStr | Priority Setting in Norwegian Municipal and Health Care Services: A Thematic Analysis of Public Consultation Documents |
| title_full_unstemmed | Priority Setting in Norwegian Municipal and Health Care Services: A Thematic Analysis of Public Consultation Documents |
| title_short | Priority Setting in Norwegian Municipal and Health Care Services: A Thematic Analysis of Public Consultation Documents |
| title_sort | priority setting in norwegian municipal and health care services a thematic analysis of public consultation documents |
| topic | Primary care first-line care long-term care regional services nursing coping |
| url | https://www.idunn.no/doi/10.18261/tfo.10.2.9 |
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