Background: Health care is facing major future challenges with a changing demographic. An aging population means increasing multi-morbidity and complex care needs. This means that more people need to share the same resources. The study intends to investigate how existing resources can be optimized to promote accessibility to care from a quality engineering perspective. Method: Data collection was carried out with combination of a systematic literature study and a case study. A deductive thematic analysis was used to analyze collected qualitative data which was compiled into categories and themes. The results of both studies were analyzed using pattern analysis, where similarities and differences were highlighted. Results: Several barriers in hospital-wide flow were identified and compiled into eight categories; management, planning & collaboration, quality, capacity, system understanding, communication, patient and staff. Process indicators are demonstrated in many parts of the care process and the various functions of healthcare. Proposed solutions for resource optimization to promote accessibility to care were summarized into six themes and 28 categories. Identified themes are, the patient at the center, mission and organization, strategic leadership, people in the organization, applying new technology and developing the care services. Conclusion: Previous studies that examined factors which affects capacity in hospitals emphasizes the importance of holistic understanding, which is confirmed in this study. If the capacity and thus accessibility to care is to be promoted, it is required that the development takes place with an understanding of the healthcare system. It also requires knowledge of how care can meet patients' needs with the help of quality technology. By using a variety of principles, methods and tools, performance can be improved and accessibility to care can be promoted.
| Identifer | oai:union.ndltd.org:UPSALLA1/oai:DiVA.org:uu-504074 |
| Date | January 2023 |
| Creators | Almassri, Fatma, Holmgren, Åsa |
| Publisher | Uppsala universitet, Institutionen för samhällsbyggnad och industriell teknik |
| Source Sets | DiVA Archive at Upsalla University |
| Language | Swedish |
| Detected Language | English |
| Type | Student thesis, info:eu-repo/semantics/bachelorThesis, text |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | SAMINT-LKF ; 23013 |
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