Collaborative challenges in the use of telecare.

Abstract

As a growing number of seniors with complex needs are living at home, the implementation of telecare has become a priority. This article aims to identify factors influencing inter- and intra-organisational collaboration in Norwegian primary care. The focus is on collaboration in service provision for senior users with telecare solutions, in this case personal alarms. Data were collected from two individual interviews with each of seven middle managers from four different units. Additionally, group interviews were conducted during two workshops, both with 16 and 17 front-line staff members from four local authority units. Challenges and barriers to collaboration and integration were information flow and information sharing, unclear understanding of the division of duties between the units involved and their employees and the lack of meeting points between the emergency medical centre and home nursing. Interagency meetings between the purchasing office and home nursing enhance collaboration. The introduction of telecare does not simplify collaboration or improve services; technology does not solve collaboration challenges. Technology limits information to written form, which may not meet the needs of the service provider and user. Collaboration and integration require common strategies and leadership that implements them, including in telecare.