Organisational and social work-environment experiences after care manager implementation: a repeated cross-sectional study in Swedish primary care.

AbstractIntroductionMaterials and methodsTrial registrationResultsConclusionsPrimary care centers (PCCs) are the foundation of healthcare, requiring a supportive work environment for quality care and personnel well-being. To address rising common mental disorders (depression, anxiety, stress-related...

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Publicado en:Scandinavian Journal of Primary Health Care pp. 1 - 13
Autores principales: Augustsson, Pia, Petersson, Eva-Lisa, Björkelund, Cecilia, Persson Kylén, Sven, Wikberg, Carl
Formato: Journal Article
Publicado: Taylor & Francis Ltd Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Scandinavian Journal of Primary Health Care
      issn: 02813432
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      dt: Jul2025
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        186980698
        10.1080/02813432.2025.2538486
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        atl: Organisational and social work-environment experiences after care manager implementation: a repeated cross-sectional study in Swedish primary care.
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        au:
          Augustsson, Pia
          Petersson, Eva-Lisa
          Björkelund, Cecilia
          Persson Kylén, Sven
          Wikberg, Carl
        affil: General Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg
      sug:
      ab: AbstractIntroductionMaterials and methodsTrial registrationResultsConclusionsPrimary care centers (PCCs) are the foundation of healthcare, requiring a supportive work environment for quality care and personnel well-being. To address rising common mental disorders (depression, anxiety, stress-related disorders) care managers were introduced in Region Västra Götaland in 2015 and are now established in 175 PCCs, supported by clinical and economic benefits. This study explores changes in the organisational and social work environment experienced by PCC personnel five years post-implementation of care managers at two points: 2016/17 and 2021/22.This repeated cross-sectional study was conducted as an open cohort at 36 strategically selected PCCs in 2016/17 and 2021/22. Although the personnel varied, consistent instruments were used. Descriptive statistics and cross-tabulations examined differences in the organizational and social work environment at the two periods.NCT02378272, 2015-02-02. Retrospectively registered.Familiarity with the care manager function increased from 72% in 2016/17 to 79% in 2021/22. Motivation to collaborate increased by 80%, reflecting a 62% higher willingness compared to 2016/17. Personnel’s knowledge and motivation were significantly associated with perceived improvements in the work environment. These improvements were consistent across gender, age, PCC size, and geographic location. Personnel at smaller PCCs reporting slightly greater improvements, with some age-related variation.Having a care manager on site may have limited direct impact on individual work or perceptions of the work environment. However, increased knowledge of the function appears to strengthen collaboration collegial support within the PCC, indicating positive changes in the social and organisational work environment.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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