TY - BOOK PY - 2016 DA - 2016// TI - Framework on integrated, people-centred health services: report by the secretariat ID - ref1 ER - TY - JOUR AU - Leijten, F. R. M. AU - Struckmann, V. AU - Ginneken, E. AU - Czypionka, T. AU - Kraus, M. AU - Reiss, M. PY - 2018 DA - 2018// TI - The SELFIE framework for integrated care for multi-morbidity: development and description JO - Health Policy. VL - 122 UR - https://doi.org/10.1016/j.healthpol.2017.06.002 DO - 10.1016/j.healthpol.2017.06.002 ID - Leijten2018 ER - TY - JOUR AU - Palmer, K. AU - Marengoni, A. AU - Forjaz, M. J. AU - Jureviciene, E. AU - Laatikainen, T. AU - Mammarella, F. PY - 2018 DA - 2018// TI - Multimorbidity care model: recommendations from the consensus meeting of the joint action on chronic diseases and promoting healthy ageing across the life cycle (JA-CHRODIS) JO - Health Policy. VL - 122 UR - https://doi.org/10.1016/j.healthpol.2017.09.006 DO - 10.1016/j.healthpol.2017.09.006 ID - Palmer2018 ER - TY - JOUR AU - Smith, S. M. AU - Wallace, E. AU - O'Dowd, T. AU - Fortin, M. PY - 2016 DA - 2016// TI - Interventions for improving outcomes in patients with multimorbidity in primary care and community settings JO - Cochrane Libr VL - 3 ID - Smith2016 ER - TY - JOUR AU - Xu, X. AU - Mishra, G. D. AU - Jones, M. PY - 2017 DA - 2017// TI - Evidence on multimorbidity from definition to intervention: an overview of systematic reviews JO - Ageing Res Rev VL - 37 UR - https://doi.org/10.1016/j.arr.2017.05.003 DO - 10.1016/j.arr.2017.05.003 ID - Xu2017 ER - TY - JOUR AU - Bruin, S. R. AU - Versnel, N. AU - Lemmens, L. C. AU - Molema, C. C. M. AU - Schellevis, F. G. AU - Nijpels, G. PY - 2012 DA - 2012// TI - Comprehensive care programs for patients with multiple chronic conditions: a systematic literature review JO - Health Policy VL - 107 UR - https://doi.org/10.1016/j.healthpol.2012.06.006 DO - 10.1016/j.healthpol.2012.06.006 ID - Bruin2012 ER - TY - STD TI - OECD 2011. Future demographic trends and long-term care costs. In: Help wanted? Providing and paying for long-term care. https://www.oecd.org/els/health-systems/47884543.pdf accessed 20 Nov 2019. UR - https://www.oecd.org/els/health-systems/47884543.pdf ID - ref7 ER - TY - JOUR AU - Rose, A. AU - Rosewilliam, S. AU - Soundy, A. PY - 2017 DA - 2017// TI - Shared decision making within goal setting in rehabilitation settings: a systematic review JO - Patient Educ Couns VL - 100 UR - https://doi.org/10.1016/j.pec.2016.07.030 DO - 10.1016/j.pec.2016.07.030 ID - Rose2017 ER - TY - JOUR AU - Berntsen, G. K. R. AU - Gammon, D. AU - Steinsbekk, A. AU - Salamonsen, A. AU - Foss, N. AU - Ruland, C. PY - 2015 DA - 2015// TI - How do we deal with multiple goals for care within an individual patient trajectory? A document content analysis of health service research papers on goals for care JO - BMJ Open VL - 5 UR - https://doi.org/10.1136/bmjopen-2015-009403 DO - 10.1136/bmjopen-2015-009403 ID - Berntsen2015 ER - TY - JOUR AU - Kuluski, K. AU - Gill, A. AU - Naganathan, G. AU - Upshur, R. AU - Jaakkimainen, R. L. AU - Wodchis, W. P. PY - 2013 DA - 2013// TI - A qualitative descriptive study on the alignment of care goals between older persons with multi-morbidities, their family physicians and informal caregivers JO - BMC Fam Pract VL - 14 UR - https://doi.org/10.1186/1471-2296-14-133 DO - 10.1186/1471-2296-14-133 ID - Kuluski2013 ER - TY - STD TI - National Institute for Health and Care Excellence. Multimorbidity: Clinical assessment and management. NICE guideline (NG56). United Kingdom; 2016. https://www.nice.org.uk/guidance/ng56. Accessed 20 Nov 2019. UR - https://www.nice.org.uk/guidance/ng56 ID - ref11 ER - TY - STD TI - The Norwegian Directorate of Health. Veileder om oppfølging av personer med store og sammensatte behov (Follow-up of people with large and complex needs) 2018 [cited 2018 02.22]. https://helsedirektoratet.no/retningslinjer/oppfolging-av-personer-med-store-og-sammensatte-behov. Accessed 20 Nov 2019. UR - https://helsedirektoratet.no/retningslinjer/oppfolging-av-personer-med-store-og-sammensatte-behov ID - ref12 ER - TY - JOUR AU - Lenzen, S. t. e. p. h. a. n. i. e. A. n. n. a. AU - Daniëls, R. a. m. o. n. AU - van Bokhoven, M. a. r. l. o. e. s. A. m. a. n. t. i. a. AU - van der Weijden, T. r. u. d. y. AU - Beurskens, A. n. n. a. PY - 2017 DA - 2017// TI - Disentangling self-management goal setting and action planning: A scoping review JO - PLOS ONE VL - 12 UR - https://doi.org/10.1371/journal.pone.0188822 DO - 10.1371/journal.pone.0188822 ID - Lenzen2017 ER - TY - STD TI - Berntsen GKR, Dalbakk M, Hurley JS, Bergmo T, Solbakken B, Spansvoll L, Bellika JG, Skrøvseth SO, Brattlend T and Rumpsfeld M. Person-centred, integrated and pro-active care for multi-morbid elderly with advanced care needs: a propensity score-matched controlled trial. BMC Health Serv Res. 2019 19:682. doi.org/https://doi.org/10.1186/s12913-019-4397-2 ID - ref14 ER - TY - JOUR AU - Palumbo, R. PY - 2016 DA - 2016// TI - Contextualizing co-production of health care: a systematic literature review JO - Public Sect Manag VL - Vol. 29 UR - https://doi.org/10.1108/IJPSM-07-2015-0125 DO - 10.1108/IJPSM-07-2015-0125 ID - Palumbo2016 ER - TY - JOUR AU - Osborne, S. t. e. p. h. e. n. P. AU - Radnor, Z. o. e. AU - Strokosch, K. i. r. s. t. y. PY - 2016 DA - 2016// TI - Co-Production and the Co-Creation of Value in Public Services: A suitable case for treatment? JO - Public Management Review VL - 18 UR - https://doi.org/10.1080/14719037.2015.1111927 DO - 10.1080/14719037.2015.1111927 ID - Osborne2016 ER - TY - STD TI - WHO. Innovative Care for Chronic Conditions: Building Blocks for Action. Geneva: World Health Organisation (WHO); 2002. https://www.who.int/chp/knowledge/publications/icccglobalreport.pdf. Accessed 20 Nov 2019 UR - https://www.who.int/chp/knowledge/publications/icccglobalreport.pdf ID - ref17 ER - TY - CHAP PY - 2015 DA - 2015// TI - People-centred and integrated health services: an overview of the evidence Interim Report BT - Secondary People-centred and integrated health services: an overview of the evidence. Interim report PB - WHO CY - Geneva ID - ref18 ER - TY - JOUR AU - Palumbo, R. AU - Manna, R. PY - 2017 DA - 2017// TI - What if things go wrong in co-producing health services? Exploring the implementation problems of health care co-production JO - Policy and Soc VL - Vol 37 UR - https://doi.org/10.1080/14494035.2018.1411872 DO - 10.1080/14494035.2018.1411872 ID - Palumbo2017 ER - TY - JOUR AU - Vermunt, N. P. C. A. AU - Harmsen, M. AU - Westert, G. P. AU - Olde Rikkert, M. G. M. AU - Faber, M. J. PY - 2017 DA - 2017// TI - Collaborative goal setting with elderly patients with chronic disease or multimorbidity: a systematic review JO - BMC Geriatr VL - 17 UR - https://doi.org/10.1186/s12877-017-0534-0 DO - 10.1186/s12877-017-0534-0 ID - Vermunt2017 ER - TY - JOUR AU - Berntsen, G. R. AU - Høyem, A. AU - Lettrem, I. AU - Ruland, C. AU - Rumpsfeld, M. AU - Gammon, D. B. PY - 2018 DA - 2018// TI - A person-centered integrated care quality framework, based on a qualitative study of patients’ evaluation of care in light of chronic care ideals JO - BMC Health Serv Res VL - 18 UR - https://doi.org/10.1186/s12913-018-3246-z DO - 10.1186/s12913-018-3246-z ID - Berntsen2018 ER - TY - STD TI - Lenzen SA, Daniëls R, van Bokhoven MA, van der Weijden T, Beurskens A. Development of a conversation approach for practice nurses aimed at making shared decisions on goals and action plans with primary care patients. BMC Health Serv Res; London. 2018;Vol 18. https://doi.org/10.1186/s12913-018-3734-1. ID - ref22 ER - TY - JOUR AU - Boeckxstaens, P. AU - Willems, S. AU - Lanssens, M. AU - Decuypere, C. AU - Brusselle, G. AU - Kühlein, T. PY - 2016 DA - 2016// TI - A qualitative interpretation of challenges associated with helping patients with multiple chronic diseases identify their goals JO - J Comorbidity VL - 6 UR - https://doi.org/10.15256/joc.2016.6.64 DO - 10.15256/joc.2016.6.64 ID - Boeckxstaens2016 ER - TY - JOUR AU - Bodenheimer, T. AU - Handley, M. A. PY - 2009 DA - 2009// TI - Goal-setting for behavior change in primary care: an exploration and status report JO - Patient Educ Couns VL - 76 UR - https://doi.org/10.1016/j.pec.2009.06.001 DO - 10.1016/j.pec.2009.06.001 ID - Bodenheimer2009 ER - TY - JOUR AU - Scobbie, L. AU - Wyke, S. AU - Dixon, D. PY - 2009 DA - 2009// TI - Identifying and applying psychological theory to setting and achieving rehabilitation goals JO - Clin Rehabil VL - 23 UR - https://doi.org/10.1177/0269215509102981 DO - 10.1177/0269215509102981 ID - Scobbie2009 ER - TY - JOUR AU - Franklin, M. AU - Lewis, S. AU - Willis, K. AU - Bourke-Taylor, H. AU - Smith, L. PY - 2017 DA - 2017// TI - Patients’ and healthcare professionals’ perceptions of self-management support interactions: systematic review and qualitative synthesis JO - Chronic Illness VL - 14 UR - https://doi.org/10.1177/1742395317710082 DO - 10.1177/1742395317710082 ID - Franklin2017 ER - TY - JOUR AU - Lenzen, S. A. AU - Dongen, J. J. J. AU - Daniëls, R. AU - Bokhoven, M. A. AU - Weijden, T. AU - Beurskens, A. PY - 2016 DA - 2016// TI - What does it take to set goals for self-management in primary care? A qualitative study JO - Fam Pract VL - 33 UR - https://doi.org/10.1093/fampra/cmw054 DO - 10.1093/fampra/cmw054 ID - Lenzen2016 ER - TY - JOUR AU - Levack, W. M. M. AU - Dean, S. G. AU - Siegert, R. J. AU - McPherson, K. M. PY - 2011 DA - 2011// TI - Navigating patient-centered goal setting in inpatient stroke rehabilitation: how clinicians control the process to meet perceived professional responsibilities JO - Patient Educ Couns VL - 85 UR - https://doi.org/10.1016/j.pec.2011.01.011 DO - 10.1016/j.pec.2011.01.011 ID - Levack2011 ER - TY - JOUR AU - Angel, S. AU - Frederiksen, K. N. PY - 2015 DA - 2015// TI - Challenges in achieving patient participation: a review of how patient participation is addressed in empirical studies JO - Int J Nurs Stud VL - 52 UR - https://doi.org/10.1016/j.ijnurstu.2015.04.008 DO - 10.1016/j.ijnurstu.2015.04.008 ID - Angel2015 ER - TY - BOOK AU - Charmaz, K. PY - 2014 DA - 2014// TI - Constructing grounded theory PB - SAGE CY - USA ID - Charmaz2014 ER - TY - BOOK AU - Krueger, R. A. AU - Casey, M. A. PY - 2015 DA - 2015// TI - Focus groups: a practical guide for applied research PB - SAGE CY - Los Angeles ID - Krueger2015 ER - TY - JOUR AU - Cochrane, A. AU - Furlong, M. AU - Mcgilloway, S. AU - Molloy, D. AU - Stevenson, M. AU - Donnelly, M. PY - 2016 DA - 2016// TI - 070 the effects of time-limited home-care reablement services for older people: a cochrane systematic review JO - Age Ageing VL - Vol. 45 ID - Cochrane2016 ER - TY - STD TI - The Norwegian Directorate of Health. Veileder for saksbehandling 2017. (Guideline for case management). https://helsedirektoratet.no/retningslinjer/veileder-for-saksbehandling-av-tjenester-etter-helse-og-omsorgstjenesteloven. Accessed 20 Nov 2019. UR - https://helsedirektoratet.no/retningslinjer/veileder-for-saksbehandling-av-tjenester-etter-helse-og-omsorgstjenesteloven ID - ref33 ER - TY - STD TI - Helse-, omsorgs- og rehabiliteringsstatistikk. Eldres helse og bruk av kommunale helse- og omsorgstjenester. Rapport IS-2375. (Health- care and rehabilitation statistics, report) The Norwegian Directorate of Health, 2016. https://www.helsedirektoratet.no/rapporter/helse-omsorgs-og-rehabiliteringsstatistikk-eldres-helse-og-bruk-av-kommunale-helse-og-omsorgstjenester/Helse,-omsorgs,-%20og%20rehabiliteringsstatistikk%20%E2%80%93%20Eldres%20helse%20og%20bruk%20av%20kommunale%20helse-%20og%20omsorgstjenester.pdf/ Accessed 20 Nov 2019. UR - https://www.helsedirektoratet.no/rapporter/helse-omsorgs-og-rehabiliteringsstatistikk-eldres-helse-og-bruk-av-kommunale-helse-og-omsorgstjenester/Helse,-omsorgs,-%20og%20rehabiliteringsstatistikk%20%E2%80%93%20Eldres%20helse%20og%20bruk%20av%20kommunale%20helse-%20og%20omsorgstjenester.pdf/ ID - ref34 ER - TY - BOOK AU - Ervik, R. AU - Lindèn, T. S. AU - Askildsen, J. E. PY - 2016 DA - 2016// TI - S R. SELFIE 2020 Work Package 2: Thick descriptions of Learning networks for whole, coordinated and safe pathways (Learning networks) ID - Ervik2016 ER - TY - STD TI - Thornberg R, Charmaz K. Grounded theory and theoretical coding. 2014 2019/04/01. In: The SAGE handbook of qualitative data analysis [internet]. London: SAGE Publications Ltd. https://methods.sagepub.com/book/the-sage-handbook-of-qualitative-data-analysis. Accessed 20 Nov 2019. UR - https://methods.sagepub.com/book/the-sage-handbook-of-qualitative-data-analysis ID - ref36 ER - TY - STD TI - Dörfler E, Kulnik ST. Despite communication and cognitive impairment – person-centred goal-setting after stroke: a qualitative study. Disabil Rehabil. 2019. https://doi.org/10.1080/09638288.2019.1604821. ID - ref37 ER - TY - JOUR AU - Sugavanam, T. AU - Mead, G. AU - Bulley, C. AU - Donaghy, M. AU - Wijck, F. PY - 2013 DA - 2013// TI - The effects and experiences of goal setting in stroke rehabilitation—a systematic review JO - Disabil Rehabil VL - 35 UR - https://doi.org/10.3109/09638288.2012.690501 DO - 10.3109/09638288.2012.690501 ID - Sugavanam2013 ER - TY - JOUR AU - Chi, W. C. AU - Wolff, J. AU - Greer, R. AU - Dy, S. PY - 2017 DA - 2017// TI - Multimorbidity and decision-making preferences among older adults JO - Ann Fam Med VL - 15 UR - https://doi.org/10.1370/afm.2106 DO - 10.1370/afm.2106 ID - Chi2017 ER - TY - JOUR AU - Christensen, K. AU - Fluge, S. PY - 2016 DA - 2016// TI - User participation in Norwegian elderly care policy – The development of rhetoric about individual responsibility. (Norwegian title: Brukermedvirkning I norsk eldreomsorgspolitikk – Om utviklingen av retorikken om individuelt medansvar) JO - Tidsskrift Velferdsforskning VL - 03 ID - Christensen2016 ER - TY - BOOK AU - Flottorp, S. AU - Harboe, I. AU - Kornør, H. AU - Sandberg, H. AU - Smedslund, G. PY - 2019 DA - 2019// TI - Omsorgstjenesteforskningen i Norge (Care Services Research in Norway). The Research Council of Norway ID - Flottorp2019 ER -