Municipal Sector Research Articles

Economic Impact of Droughts in Southern Brazil, a Duration Analysis

Hydrometeorological hazards are currently a cause for great concern worldwide. Droughts are among the most recurrent events, causing significant losses. This article presents a study on the duration of droughts in the southernmost state of Brazil, which has a large agricultural sector and experiences frequent drought events. The approach focuses on the economic recovery time of municipalities affected by the drought in 2020, 2022 and 2023, using the total value of invoices issued within each municipality between companies and from companies to consumers. The Kaplan–Meier estimator and Cox regression models are applied, incorporating covariates such as the size of the municipality, geographic location, and primary economic activity sector. The results show that the longest recovery period is concentrated in small cities, particularly in those where agriculture or livestock is the primary economic activity. The greatest resilience is observed in cities within the metropolitan region, where economic activity is more concentrated in services and industry and where populations are generally larger. The study identifies that after each drought event, at least 75% of municipalities achieve economic recovery within 3 months. These findings support better planning for both drought prevention and impact reduction and they are relevant for the development of economic and social policies.

دور العلاقات العامة في تشكيل الصورة الذهنية لموظفي القطاع البلدي بالمنطقة الشرقية

The study showed that effective public relations activities, including media campaigns and direct communication with employees, contribute significantly to improving the mental image of the municipal sector. These activities play a major role in enhancing employees’ confidence in their management and raising their level of job satisfaction. The study also found that continuous and comprehensive internal communication increases employee satisfaction and enhances their sense of belonging. Public relations contribute to achieving alignment between management goals and employee aspirations, which helps achieve a stable and supportive work environment. The results indicated that transparency in communication processes between management and employees is one of the essential elements for building a positive and reliable relationship. This transparency contributes to reducing rumors and misunderstandings, which increases positive interaction between management and employees and enhances their impressions of the institution. The study also highlighted the effectiveness of modern technical tools in enhancing internal communication, as the use of these tools contributes to facilitating the exchange of information and clarifying procedures, which leads to improving the effectiveness of communication and enhancing the positive mental image of the municipal sector. The study stressed the importance of adopting sustainable public relations strategies aimed at continuous and constructive communication with employees, to support the long-term goals of the sector. She recommended the need to focus public relations efforts on transparency, continuous communication and the use of modern technologies, which contributes to creating a positive work environment and enhances job satisfaction and belonging among employees, thus achieving a positive and supportive mental image of the municipal sector in the Eastern Region.

Predictors of disability retirement - a prediction model for disability pension application risk

Abstract Background Regarding the objective of preventing early exits from labor market, the late life-course years present an important timeframe. It is essential to identify the employees in the greatest risk of permanently losing their work ability. In practical applications, multifactorial models are needed to evaluate the combined effect of risk factors. In this study, the disability pension risk is modeled based on large unique register data, at the same time assessing the effect of sickness absences (SA) of different lengths. Methods We utilize a logistic model for the risk of filing a first-time disability pension application (DPA) based on register data on 222,321 Finnish municipal sector employees. The data include employment and sickness spells, occupations, and wages in 2016-2018 as covariates. During the 3-year follow-up, 2,969 employees filed a DPA. The data include also short SA spells, a novelty in these kinds of studies. DPA is used as a follow-up to include employees who receive a rejecting decision but still carry a physician’s evaluation of diminished work ability. Results The resulting model can accurately predict the risk of DPA in employee groups. Age, occupation, cumulative SAs preceding the application, and the number of SA spells of all lengths, also short ones, have a significant increasing effect on the DPA risk. Proximity of the retirement age and high earnings decrease the risk of DPA. Surprisingly gender had no effect on the risk. Conclusions The results indicate that register-based sociodemographic data is very useful in modeling the employee DPA risk in public sector employee groups. The resulting model provides a basis for tools for predicting the risk status of employee groups for the use of employers responsible for risk management and early intervention, also allowing for the assessment of economic effects of SAs and disability risk. The presented modeling results are already utilized among public sector employers in Finland. Key messages • Disability pension risk can accurately be predicted in public sector employee groups based on readily available sociodemographic register data. • All sickness absences have a significant increasing effect on the risk of disability pension application, but the effect varies greatly depending on age and occupation.

Work-family conflicts and sickness absence due to mental disorders among female municipal employees - a register-linked study comparing health and social care employees to employees in other sectors.

This study aimed to examine (i) if work-to-family conflicts (WtFC) and family-to-work conflicts (FtWC) are associated with sickness absence due to mental disorders and (ii) whether these associations are different among health and social care (HSC) employees compared to other municipal employee sectors. The Helsinki Health Study survey data collected in 2017 among 19-39-year-old female municipal employees (N=2557) were prospectively linked to administrative Social Insurance Institution of Finland register data on long-term sickness absence due to mental disorders (SA-MD) covering a follow-up of up to five years. The associations of WtFC and FtWC and SA-MD were analyzed using Cox regression models stratified by employment sector (HSC, education, other), adjusting for sociodemographic and health-related covariates. Of HSC employees, 16% had SA-MD during the follow-up, which surpassed the figures for employees in education (12%) and other (11%) sectors. In the HSC sector, the youngest employees had the highest prevalence of SA-MD and, among HSC employees, prior SA-MD was the most common. In Kaplan-Meier curves, the steepest increase in SA-MD was observed for HSC employees. WtFC [hazard ratio (HR) 1.84, 95% confidence interval (CI) 1.39-2.45] and FtWC (HR 1.78, 95% CI 1.32-2.40) were associated with SA-MD among HSC employees. The associations were rather similar for employees in education and other sectors. Adjusting for work-related factors and health history somewhat attenuated the associations. Better possibilities to combine work and family life might aid in preventing SA-MD in all employment sectors.

Heterogeneity in the association between social support and mental distress in old-age retirees – a computational approach using longitudinal cohort data

BackgroundMental distress among retirees and older people is a severe public health challenge, and information on new risk groups is needed. This study aims to identify subgroups of old-age retirees with varying associations between low social support and mental distress by applying model-based recursive partitioning (MOB).MethodsWe used the Helsinki Health Study follow-up survey data of old-age retired former municipal sector employees of the City of Helsinki, Finland. Phase 1 data were collected in 2000–2002, when all participants were employed, Phase 2 in 2007, Phase 3 in 2012, Phase 4 in 2017, and Phase 5 in 2022 (n = 4,466, 81% women). Social support and covariates were measured at each Phase 1–5 and the outcome, mental distress (Depression Anxiety Stress Scales [DASS-21]) was measured at a single occasion, during Phase 5. The three subscales and the common factor of general distress were analysed separately. An approach rooted in computational statistics was used to investigate risk factor heterogeneity in the association of low social support and mental distress. MOB combines decision trees with regression analysis to identify subgroups with the most significant heterogeneity among risk factors.ResultsMedian (IQR) general distress score from DASS-21 was 5.7 (3.0, 9.0), while Social Support Questionnaire number-score (SSQN) was 1.5 (1.15, 2.05). The primary effect modifier for the association between social support and general distress was education (p < 0.001). Those with high education had a different association of low social support and general distress than those with low or medium education. Additionally, the subgroup with low and medium education had a significant effect modification for age (p = 0.01). For the association between low social support and depressive symptoms, the moderating effect of education was dependent on gender, as men with medium–high education had the weakest association, while for women with medium–high education the association was strongest.ConclusionsOur results suggest that stratification by sociodemographic variables is justifiable when investigating risk factors of mental distress in old-age retirees. The incongruent association of low social support and depressive symptoms in men with medium–high education compared to women with medium–high education is a promising target for confirmatory research.

Do regional trusts alleviate bond market risks? Evidence from the Chinese municipal corporate bond pricing

Municipal corporate bonds have attracted significant attention due to their pricing mechanisms and reflect China's distinct financial landscape. Existing research has highlighted the influence of informal institutional factors on bond pricing. This study introduces the social trust index to measure regional trust levels and assesses its correlation with municipal corporate bond issuance pricing. The empirical analysis indicates that higher regional trust levels are significantly associated with reduced issuance credit spreads for municipal corporate bonds. The relationship is moderated by local economic development and the strength of implicit government guarantees. Employing the “Yongmei” event as a case study, this research explores the dynamics of bond pricing mechanisms following a reduction in government implicit guarantees and finds that a weakening of these guarantees intensifies the influence of regional trust on credit spreads. Additionally, default events are observed to have spillover effects, impacting neighboring provinces and the overall market. This research extends the investigation of regional trust's pricing mechanisms to the municipal corporate bond market, thereby enriching the study of informal institutions' impact on financial market pricing. The findings underscore the importance of effectively harnessing market mechanisms by governments to mitigate risks in the municipal corporate bond sector.

Public sector readiness for value co-creation: the diffusion of a governance innovation

IMPACT Public services, particularly in sparsely populated areas, are increasingly required to demonstrate their value—especially in terms of the public benefits they provide to local communities. In Scandinavia, local civil society organizations have long been overlooked as key partners in creating public value together with municipalities. Since 2010, Sweden has been experimenting with collaborative co-creation models that involve both municipal and third sector service providers. This article explores the specifics and reception of such models in rural areas of Finland and identifies the key lessons learned. It delves into the impact of legal frameworks and entrenched public sector norms on the success of these initiatives. The aim is to enhance the understanding of the prerequisites for applying this model among public and civil society actors.

Bio-based resources: systemic & circular solutions for (agro)environmental services.

The global promotion of decarbonisation through the circular solutions and (re)use of bio-based resources (BBR), i.e. waste streams, notably from the agricultural, forest and municipal sectors has steadily increased in recent decades. Among the transformative solutions offered by BBR, biosolids (BS), biochars (BC), and bioashes (BA) specifically attract scientific attention due to their highly complex organo-mineral matrices, which present significant potential for recovery in the agro-/forest-ecosystems. These materials enhance various soil (i) chemical (pH, macro/micro nutrient concentrations, organic matter content), (ii) physical (porosity, water-air relations, compaction) or (iii) microbial (diversity, activity) properties. Furthermore, some of transformed BBR contribute to a multitude of environmental services such as the remediation of contaminated sites and wastewater treatment, employing cost-effective and eco-friendly approaches that align with circular economy/waste management principles, ultimately contributing to climate change mitigation. However, several challenges impede the widespread utilization/transformation of BBR, including technological limitations in processing and application, concerns about contamination (e.g., PAHs, PCBs, micro/nano plastics present in BS), toxicity issues (e.g., heavy metals in BA or nanoparticles in BC), and regulatory constraints (e.g., non-uniform regulations governing the reuse of BA and BS). Addressing these challenges demands an interdisciplinary and intersectoral approach to fully unlock the potential of BBR in sustainable decarbonisation efforts.

Co-design knowledge mobilization tools for universal accessibility in municipalities.

Modern research teams are re-evaluating conventional methods with the aim of improving the usefulness of knowledge for users, focusing on the role of knowledge users in shaping innovation. In disability field, encouraging participatory research inherently involves diverse perspectives and inclusion, which aligns with the principles of universal accessibility. By actively involving individuals with various backgrounds, abilities, and needs in the research process, we can better understand and address the challenges faced in adopting universal accessibility. This approach ensures that solutions are more comprehensive, inclusive, and effectively cater to the needs of all individuals, fostering a more equitable and accessible environment for everyone. Despite municipal organizations mandating universal accessibility action plans, they lack tools for efficient implementation. The aim of this study was to develop knowledge mobilization tools tailored to a specific municipal context in Quebec, Canada, to facilitate the implementation of universal accessibility measures by municipal employees. The co-design process employed in this study was organized into four distinct stages, following the Morales model: (1) Exploration (2) Co-Design (3) Validation (4) Development. Stages one and two highlighted the employees' lack of awareness about universal accessibility issues and their need to have more information and resources about how universal accessibility is encountered in their work. A steering committee co-designed three video vignettes about universal accessibility, the city's action plan and measures included in it. The co-design approach used in this study allowed us to observe the non-linear nature of partnership research with an organization as complex as a municipality. Our study shows significant advantages of collaboration between the municipal sector and research.

Impact of climate change on water crisis and conflicts: Farmers’ perceptions at the ZayandehRud Basin in Iran

Study regionThe study was conducted in the ZayandehRud Basin in Iran. Study focusConflicts over water resources have increasingly occurred on different geographic scales, linked to various human activities and environmental factors, including climate change and the water crisis. This paper examines farmers’ perceptions regarding their vulnerability to climate change, the impact of climate change on the water crisis, and water crisis-induced conflicts. The research uses meteorological data and a survey with 301 randomly selected farmers New hydrological insights for the regionFarmers confirm the significant trends and fluctuations of climatic factors by the meteorological records. Their perceptions are different within and between the upstream and downstream areas of the basin. Farmers also highlight that climate change has damaged water resources, threatened water supply, and exacerbated the water crisis. This intensifies their vulnerability, injustice, and conflicts between farmers in different sub-basins and with industry, environment, and municipal sectors. Moreover, different farmers’ perceptions regarding climate change incidence, climate change-induced water crisis, and water crisis-induced conflicts are likely to produce even greater risks of local and regional disputes among different stakeholders, unless other mechanisms for reducing water insecurity are identified and implemented. Future policies should enhance farmers’ knowledge, reduce misunderstandings and perception gaps regarding climate change and its impact on the water crisis, and manage conflicts among stakeholders and between different sub-basins through social learning platforms.

Circular economy processes in the Nordic municipal building sector – a comparison of practices and policies

Circular economy processes in the Nordic municipal building sector – a comparison of practices and policies

Examining the creation of synergy in community coalitions for smoke-free environments in Armenia and Georgia.

Community coalitions depend on their members to synergistically pool diverse resources, including knowledge and expertise, community connections and varied perspectives, to identify and implement strategies and make progress toward community health improvement. Several coalition theories suggest synergy is the key mechanism driving coalition effectiveness. The Community Coalition Action Theory (CCAT) asserts that synergy depends on how well coalitions engage their members and leverage their resources, which is influenced by coalition processes, member participation and satisfaction and benefits outweighing costs. The current study used mixed methods, including coalition member surveys (n = 83) and semi-structured interviews with leaders and members (n = 42), to examine the process of creating collaborative synergy in 14 community coalitions for smoke-free environments in Armenia and Georgia. Members, typically seven per coalition representing education, public health, health care and municipal administration sectors, spent an average of 16hr/month on coalition-related work. Common benefits included making the community a better place to live and learning more about tobacco control. The greatest cost was attending meetings or events at inconvenient times. Members contributed various resources, including their connections and influence, skills and expertise and access to population groups and settings. Strong coalition processes, greater benefits and fewer costs of participation and satisfaction were correlated with leveraging of member resources, which in turn, was highly correlated with collaborative synergy. Consistent with CCAT, effective coalition processes created a positive climate where membership benefits outweighed costs, and members contributed their resources in a way that created collaborative synergy.

Financialization the Swedish way: How Vonovia became the largest owner of former public housing estates through transaction pathways and calculative practices

ABSTRACT The Swedish rental housing market has been in transition. The once dominating municipal public housing sector has been steadily decreasing. International firms have increasingly taken over rental housing in so-called socially deprived areas. This article analyzes the financialization of the former public housing stock. It traces activities in two housing estates and outlines the history and operations of venture capital-based real estate companies focusing on deprived areas in Sweden. These companies have upgraded multifamily homes and thus increased rents, which resulted in large profits and a decrease in the affordable housing stock. In this new reality, venture capital actors have taken advantage of contextual conditions and applied powerful calculative devices. Drawing on studies of financialization as a socio-technical process, the article contributes to knowledge by de-mystifying financialization through a detailed study of specific practices undertaken by international investors who acquire former public housing units in Sweden.

Green innovative procurement in the municipality sector: A dual case study from Norway

ABSTRACT With its substantial spending power, the public sector can contribute to green societal transitions through the adaptation of green public procurement (GPP). Albeit described as having extensive potential, GPP is also associated with several organizational challenges and somewhat elusive effects. This article discusses the potential and challenges relating to GPP and how ‘successful projects’ can provide a better understanding of how the elements of the GPP process comes together, especially in relation to innovation. This is done by introducing a schematic model for GPP with innovation, through which two successful Norwegian municipality GPP projects are unpacked. Using data from the National Programme for Innovative Procurement (LUP) and in-depth document analysis, the authors demonstrate the complexity and interaction of GPP with innovation with regards to both processes and outcome, and how this is conditioned by geographical context and dynamics. They conclude that both cases, albeit having different green foci (i.e. building with wood and safer production of drinking water), combine different multi-actor organizational structures, built around dialogue and the fostering of trust between actors. In addition, both cases showcase radical innovation obtained through GPP, with the potential of scaling up these innovations, pending the continued capacity of the involved market actors.

Modelling the Nexus of municipal solid waste sector for climate resilience and adaptation to nature-based solutions: A case study of Pakistan

Municipal solid waste management is a major concern in developing economies, requiring collective international efforts to achieve carbon neutrality by diverting waste from disposal facilities. This study aims to highlight the importance of the waste sector as it has the potential to significantly contribute to climate change and its toxicity impact on the local ecosystem. Out of the total municipal solid waste generated, only 78 % is collected, either open dumped or thrown in sanitary landfills. The waste sector's ecological impact value is calculated for the Earth's regions, and it is very high at >50 % in Africa, Asia, Latin America and the Caribbean. This sectoral impact value is mainly responsible for greenhouse gas emissions and degradation of the local ecosystem health. Current business‒as‒usual practices attribute 3.42 % of global emissions to the waste sector. Various scenarios are developed based on waste diversion and related emissions modelling, and it is found that scenarios 3 and 4 will support the policymakers of the regions in attaining zero carbon footprints in the waste sector. Our findings conclude that cost-effective nature-based solutions will help low‒income countries reduce emissions from disposal sites and significantly improve the local ecosystem's health. Developed economies have established robust waste‒handling policies and implementation frameworks, and there is a need for collaboration and knowledge sharing with developing economies at the regional level to sustain the sector globally.

Dehydration and Environmentally Friendly Thermal Processing of Excess Activated Sludge

Introduction. Currently, there is a problem with the accumulation of large amounts of production waste. One type of this waste is excess activated sludge, which is a waste product from biological wastewater treatment that has a high moisture content. When excess activated sludge is deposited in beds, problems can arise related to changes in the gas-air environment, the release of unpleasant odors, as well as the contamination of groundwater and soil. Prolonged presence of sediment in sludge beds in oxygen-free conditions leads to its decay and deterioration of moisture-yielding properties. For these reasons, the development of new methods for disposing of large volumes of waste generated during wastewater treatment is essential. The aim of this research is to develop a technique for preliminary neutralization and thermal treatment of excess activated sludge using energy waste. Materials and Methods. The work used excess activated sludge with a moisture content of 98.2% (waste of hazard class IV). Water treatment sludge (waste of hazard class V) was used as a reagent to increase moisture yield. For experimental studies on dehydration, a laboratory centrifuge Elmi CM-6M.01 was used. Tests were conducted under various conditions (500, 1 000, and 1 500 revolutions per second for 1, 2, and 3 minutes), and the value of centrifugation was determined as a criterion for moisture yield in the sludge. Fuel pellets were produced by rolling with technical lignosulfonate as a binding agent. Elemental analysis of the samples was conducted to study the possibility of thermal treatment using an EA 3 000 Euro Vector Analyzer. Results. A comprehensive technology has been developed to clean the resulting gas emissions from solid particles formed during the combustion of fuel pellets and remove them from the furnace in the form of fly ash along with the outgoing gases. This technology also removed sulfur oxides, nitrogen oxides, and polychlorinated dibenzodioxins and dibenzofurans, while beneficially utilizing flue gas heat by reducing its temperature from 900–1 200°C to 140°C. Discussion and Conclusion. The approach proposed in this article for the processing and disposal of large volumes of waste allows for the reduction of moisture content of excess activated sludge and the use of this waste as a secondary energy source. This method is environmentally friendly and addresses both technical and environmental challenges, such as the effective recycling of industrial waste and reducing the anthropogenic impact on soil, air, and groundwater. It also provides an opportunity to generate additional electrical and thermal energy through thermal utilization of waste. The results of this work indicate that it is possible to integrate the use of various types of industrial waste (sewage sludge, water treatment waste, and pulp and paper industry waste) as secondary energy sources. These findings have practical implications for enterprises in both the municipal and industrial sectors with wastewater treatment facilities.

Key drivers and pressures of global water scarcity hotspots

Global freshwater resources are vital to humanity and Earth’s ecosystems, yet about one third of the global population is affected by water scarcity for at least one month per year. In these areas, the overuse of freshwater resources can lead to the threat of depletion, marking them as the global ‘water scarcity hotspots’. This study combines outputs from a global hydrological model (PCR-GLOBWB 2) with an extensive literature search to provide a comprehensive intercomparison of the key drivers, pressures, states, impacts and responses (DPSIR) that shape the water gap between water demand and availability at the most important water scarcity hotspots worldwide. Hydroclimatic change, population growth, and water use for the industrial, municipal and agricultural sectors are the most important driving and pressuring forces on the water gap, affecting both water quality and quantity. These drivers and pressures have been showing increasing trends at all hotspots, which is concerning for the future development of the water gap. Additionally, we identify and characterize seven clusters of hotspots based on shared DPSIR patterns, revealing their common mechanisms. Our work highlights the diversity of water scarcity related issues at hotspots, especially the variety of impacts involved and governmental responses in place. The results of our DPSIR analysis provide valuable insights for building causal networks representing water gap dynamics at the hotspots. They form a foundation for conceptual models that illuminate human-water interactions, trade-offs, and synergies at the hotspots, while guiding policymakers in addressing the multifaceted challenge of closing the water gap.

Forecasting the Mitigation Potential of Greenhouse Gas Emissions in Shenzhen through Municipal Solid Waste Treatment: A Combined Weight Forecasting Model

As a significant source of anthropogenic greenhouse gas emissions, the municipal solid waste sector’s greenhouse gas emission mode remains unknown, hampering effective decision-making on possible greenhouse gas emission reductions. Rapid urbanization and economic growth have resulted in massive volumes of municipal solid trash. As a result, identifying emission reduction routes for municipal solid waste treatment is critical. In this research, we investigate the potential of municipal solid waste treatment methods in lowering greenhouse gas (GHG) emissions in Shenzhen, a typical Chinese major city. The results showed that the combined treatment of 58% incineration, 2% landfill, and 40% anaerobic digestion (AD) had the lowest greenhouse gas emissions of about 5.91 million tons under all scenarios. The implementation of waste sorting and anaerobic digestion treatment of organic municipal solid waste after separate collection can reduce greenhouse gas emissions by simply increasing the incineration ratio.

Achieving carbon neutrality in Shanghai's municipal wastewater treatment sector requires coordinated water conservation and technical improvement

Municipal wastewater treatment plants (WWTPs) situated within urban landscapes play a critical role in fostering sustainable urban development while concurrently serving as substantial contributors to greenhouse gas (GHG) emissions. Under the dual pressure of future urban socioeconomic development and the carbon neutrality target, it is important to identify GHG emission reduction pathways for municipal WWTPs. Existing research on GHG emission reduction in WWTPs exhibit a notable absence of a comprehensive city-centric perspective, with insufficient consideration given to the impact of water conservation measures. We constructed a GHG emission accounting system for the municipal WWTPs employing Shanghai as a case study. Based on field surveys of typical WWTPs, we proposed GHG emission reduction pathways and future demand-technology scenarios. Our results showed that, with the robust mitigation measures, Shanghai's municipal WWTPs have the potential to curtail GHG emissions to 0.55 Mt by 2050. Notably, GHG emission reduction can be achieved through water conservation and technical improvement. Medication optimization and energy saving are significant mitigation measures for GHG emission reduction, and should be optimally considered in the future. This investigation not only establishes a forward-looking GHG emission reduction roadmap for the municipal WWTPs at the city-scale but also imparts valuable insights to urban management practices in analogous urban settings.

Cross-sectoral exchange of nurses: An intervention study.

In health policy, much attention has been paid to collaboration between the primary and secondary health care sectors, especially in relation to hospitalisation and discharge. Despite ideal plans for collaboration, the research literature shows that inadequate communication is a well-known problem that can be a barrier to a safe trajectory for the citizen. Based on the assumption that better knowledge of each other's work will lead to better collaboration, a cross-sectoral exchange program with nurses was initiated. The aim was to investigate which barriers to good patient trajectories the involved nurses attributed to cross-sectoral collaboration and what impact the exchange to the opposite sector had for them. Twenty-eight nurses were exchanged: 14 from a cardiology department and 14 from municipal home care. The nurses shadowed a colleague from the opposite sector in their daily work. Subsequently, six focus group interviews were conducted. The transcribed material was analysed based on Ricoeur's interpretation theory. Two main themes, including sub-themes emerged: (1) Challenging communicative conditions: (a) Inadequate digital communication, (b) Inadequate care plans and discharge reports, (c) Conversation promotes understanding, and (d) Challenging collaboration and communication with the discharge coordinators. (2) Perceived importance of the exchange: (a) Cross-sectoral relationship, prejudice and gaining respect for each other and (b) Working in two different worlds. Electronic communication is inadequate, and the IT systems do not support sufficient cross-sectoral communication. The organisational model in the municipal care sector is inflexible in terms of allocations for the current needs of citizens, and professionals feel that their professional judgements are not recognised. The nurses gained insight into each other's work and working conditions and respect for each other's professionalism. The exchange has the potential to both improve the relationship and communication between the sectors for the benefit of a better and more coherent patient course.