Maria Flink
Datos Biográficos
| ID | 5547150 |
|---|---|
| NOMBRE | Maria Flink |
| NOMBRES | Maria |
| APELLIDO | Flink |
| FIRMA | FLINK M |
| AFILIACIONES | Karolinska Institutet |
| ORCID | 0000-0003-0536-0024 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAS | 5 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2013 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Older people in Sweden increasingly enter long-term care with extensive care needs–a register study of first-time users based on the SNAC Stockholm Eldercare study
Although previous studies have addressed factors associated with current long-term care (LTC) use, little is known about older adults’ care needs and life situation at the point of entry into formal LTC (e.g., home care, institutional care). Using data from the SNAC Stockholm Eldercare study, we identified all individuals aged ≥ 65 in the municipality of Stockholm who entered publicly funded LTC for the first time between 2015 and 2022 (n = 33,39…
Co‐Designing Local Collaboration Between Social Services, Primary Healthcare, and the Third Sector—A Realist Process Evaluation
INTRODUCTION: Co-design is increasingly used to develop research interventions and community services, highlighting the need for a deeper understanding of how this method drives change. This study evaluates the contextual factors and mechanisms shaping a co-design process intended to foster local collaboration between social services, primary care and the third sector. METHODS: A realist process evaluation was conducted in two stages: (1) formula…
Navigating Complexity
Challenges in achieving shared understanding throughout the project underline the importance of investing in relationship building, meaningful interaction, and continuous feedback loops. While the MRC framework provides guidance for developing complex interventions, the phased approach may only partially capture the emergence and self-organisation within complex adaptive systems
Feasibility, Fidelity and Acceptability of a Person‐Centred Care Transition Support Intervention for Stroke Survivors
BACKGROUND: Care transitions from hospital to home are a critical period for patients and their families, especially after a stroke. The aim of this study was to assess the feasibility, fidelity and acceptability of a co-designed care transition support for stroke survivors. METHODS: A non-randomised controlled feasibility study recruiting patients who had had stroke and who were to be discharged home and referred to a neurorehabilitation team in…
Development of Fewer Falls in MS —An Online, Theory‐Based, Fall Prevention Self‐Management Programme for People With Multiple Sclerosis
OBJECTIVE: The aim of this study was to describe the process used to develop a theory-based, online fall prevention self-management programme for ambulatory and non-ambulatory people with multiple sclerosis (pwMS). METHODS: The development process was guided by the Medical Research Council framework of complex interventions and began with a scoping review of the literature on self-management of falls in pwMS. Subsequent phases of development were…
Co-designing collaborative health deterioration prevention together with older people, civic society, and community health and social care
Introduction: As the population ages, the number of older people whose health is at risk of deteriorating is expected to increase. This may imply decreased quality of life for the individual and rising costs for social and health care. This project acknowledges that health in older people is a complex matter, that includes physical, social, and psychological dimensions, and needs to be targeted at individual, societal and structural levels. There…
How do management in civic society organisations, strategic managers, and policy-makers reason about their own role in collaborative community-based prevention and outcomes thereof, within health and …
Introduction: From a societal perspective an aging population with deterioration of health contributes to rising costs for social and health care. This project acknowledges health in older adults as a complex matter, that includes physical, social, and psychological dimensions, that needs to be targeted at individual, societal and structural levels. Thereby, we recognize that collaborative efforts by diverse actors are necessary to prevent deteri…
Participation in a co-design process – learnings and implications for enabling individual and collective participation in co-design
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
The manifestation of participation within a co‐design process involving patients, significant others and health‐care professionals
BACKGROUND: Despite intentions to increase user participation in the development of health services, the concept of participation and how it unfolds within studies with a participatory design has rarely been addressed. OBJECTIVE: The aim of this study was to describe how user participation manifests itself within a co-design process involving patients, significant others and health-care professionals, including potential enablers or barriers. MET…
Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases
The increasing prevalence of chronic conditions and multimorbidity poses great challenges to healthcare systems. As patients' engagement in self-managing their chronic conditions becomes increasingly important, eHealth interventions are a promising resource for the provision of adequate and timely support. However, there is inconclusive evidence about how to design eHealth services to meet the complex needs of patients. This study applied an evid…
Perceptive Dialogue for Linking Stakeholders and Units During Care Transitions – A Qualitative Study of People with Stroke, Significant Others and Healthcare Professionals in Sweden
This study elucidates that a perceptive dialogue with patients/significant others as well as within and across organizations is part of a coordinated and person-centred transition. There is an extensive need for increased involvement of patients and significant others regarding dialogue about health conditions, procedures at the hospital and preparation for self-management after discharge
Validation of the patient activation measure in patients at discharge from hospitals and at distance from hospital care in Sweden
The Swedish PAM-13 was reliable, but was not conclusively found to represent one underlying construct. It seems that the Swedish PAM-13 lacks strong evidence for substantive, content, and structural validity. Although valid and reliable measures of ability for activation in self-care among patients are highly warranted, we recommend further development of PAM-13 before application in everyday clinical care
The Information Flow in a Healthcare Organisation with Integrated Units
Even integration of care organisations does not imply that integrated care is delivered at the sharp end of practice. An integrated electronic health record is needed to improve accessibility of care information from within all the organisations, facilitating handovers between professionals and levels of care, and involving patients in the information flow
Perceived quality of care transitions between hospital and the home - a cross sectional study
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Planning for the Discharge, not for Patient Self-Management at Home – An Observational and Interview Study of Hospital Discharge
The discharge letter constitutes the basis for all patient information at discharge. The focus of the discharge encounter needs to be extended beyond mere information to include patient understanding, motivation and skills for self-management at home
Can implementation of standardized care pathways meet the conflicting demands of an integrated, personalized and effective care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Prerequisites for patient self-management learning at hospital discharge – an observational multiple case study
Introduction: In recent years much attention has been given to care transitions between healthcare settings and to re-hospitalizations. This is not without reason. Errors in medication, therapy, and in follow-up of tests and procedures following hospitalization are not uncommon and the associated costs are profound. Putting effort on increasing patients’ knowledge on disease control and symptom management has shown an effect on decreased re-hospi…
User-centered design of integrated eHealth to improve patients’ activation in transitional care
Introduction: The burden of chronic diseases is expected to escalate worldwide. Despite extensive use of emergency rooms and specialized care of persons with multiple or chronic diseases, the majority of the time care is managed in the patient’s home. For patients, living with chronic illnesses can be highly demanding, requiring them to manage their symptoms, disabilities and complex medical regimens at home. Effectively functioning in the role o…
Organizational Culture
BACKGROUND: Organizational culture is seen as having a growing impact on quality and safety of health care, but its impact on hospital to community patient discharge is relatively unknown. OBJECTIVES: To explore aspects of organizational culture to develop a deeper understanding of the discharge process. RESEARCH DESIGN: A qualitative study of stakeholders in the discharge process. Grounded Theory was used to analyze the data. SUBJECTS: In 5 Euro…
Perceptive Dialogue for Linking Stakeholders and Units During Care Transitions – A Qualitative Study of People with Stroke, Significant Others and Healthcare Professionals in Sweden
This study elucidates that a perceptive dialogue with patients/significant others as well as within and across organizations is part of a coordinated and person-centred transition. There is an extensive need for increased involvement of patients and significant others regarding dialogue about health conditions, procedures at the hospital and preparation for self-management after discharge
Planning for the Discharge, not for Patient Self-Management at Home – An Observational and Interview Study of Hospital Discharge
The discharge letter constitutes the basis for all patient information at discharge. The focus of the discharge encounter needs to be extended beyond mere information to include patient understanding, motivation and skills for self-management at home
The Information Flow in a Healthcare Organisation with Integrated Units
Even integration of care organisations does not imply that integrated care is delivered at the sharp end of practice. An integrated electronic health record is needed to improve accessibility of care information from within all the organisations, facilitating handovers between professionals and levels of care, and involving patients in the information flow
Organizational Culture
BACKGROUND: Organizational culture is seen as having a growing impact on quality and safety of health care, but its impact on hospital to community patient discharge is relatively unknown. OBJECTIVES: To explore aspects of organizational culture to develop a deeper understanding of the discharge process. RESEARCH DESIGN: A qualitative study of stakeholders in the discharge process. Grounded Theory was used to analyze the data. SUBJECTS: In 5 Euro…
Prerequisites for patient self-management learning at hospital discharge – an observational multiple case study
Introduction: In recent years much attention has been given to care transitions between healthcare settings and to re-hospitalizations. This is not without reason. Errors in medication, therapy, and in follow-up of tests and procedures following hospitalization are not uncommon and the associated costs are profound. Putting effort on increasing patients’ knowledge on disease control and symptom management has shown an effect on decreased re-hospi…
User-centered design of integrated eHealth to improve patients’ activation in transitional care
Introduction: The burden of chronic diseases is expected to escalate worldwide. Despite extensive use of emergency rooms and specialized care of persons with multiple or chronic diseases, the majority of the time care is managed in the patient’s home. For patients, living with chronic illnesses can be highly demanding, requiring them to manage their symptoms, disabilities and complex medical regimens at home. Effectively functioning in the role o…
Planning for the Discharge, not for Patient Self-Management at Home – An Observational and Interview Study of Hospital Discharge
The discharge letter constitutes the basis for all patient information at discharge. The focus of the discharge encounter needs to be extended beyond mere information to include patient understanding, motivation and skills for self-management at home
Can implementation of standardized care pathways meet the conflicting demands of an integrated, personalized and effective care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Perceived quality of care transitions between hospital and the home - a cross sectional study
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Validation of the patient activation measure in patients at discharge from hospitals and at distance from hospital care in Sweden
The Swedish PAM-13 was reliable, but was not conclusively found to represent one underlying construct. It seems that the Swedish PAM-13 lacks strong evidence for substantive, content, and structural validity. Although valid and reliable measures of ability for activation in self-care among patients are highly warranted, we recommend further development of PAM-13 before application in everyday clinical care
The Information Flow in a Healthcare Organisation with Integrated Units
Even integration of care organisations does not imply that integrated care is delivered at the sharp end of practice. An integrated electronic health record is needed to improve accessibility of care information from within all the organisations, facilitating handovers between professionals and levels of care, and involving patients in the information flow
Perceptive Dialogue for Linking Stakeholders and Units During Care Transitions – A Qualitative Study of People with Stroke, Significant Others and Healthcare Professionals in Sweden
This study elucidates that a perceptive dialogue with patients/significant others as well as within and across organizations is part of a coordinated and person-centred transition. There is an extensive need for increased involvement of patients and significant others regarding dialogue about health conditions, procedures at the hospital and preparation for self-management after discharge
The manifestation of participation within a co‐design process involving patients, significant others and health‐care professionals
BACKGROUND: Despite intentions to increase user participation in the development of health services, the concept of participation and how it unfolds within studies with a participatory design has rarely been addressed. OBJECTIVE: The aim of this study was to describe how user participation manifests itself within a co-design process involving patients, significant others and health-care professionals, including potential enablers or barriers. MET…
Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases
The increasing prevalence of chronic conditions and multimorbidity poses great challenges to healthcare systems. As patients' engagement in self-managing their chronic conditions becomes increasingly important, eHealth interventions are a promising resource for the provision of adequate and timely support. However, there is inconclusive evidence about how to design eHealth services to meet the complex needs of patients. This study applied an evid…
Participation in a co-design process – learnings and implications for enabling individual and collective participation in co-design
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Co-designing collaborative health deterioration prevention together with older people, civic society, and community health and social care
Introduction: As the population ages, the number of older people whose health is at risk of deteriorating is expected to increase. This may imply decreased quality of life for the individual and rising costs for social and health care. This project acknowledges that health in older people is a complex matter, that includes physical, social, and psychological dimensions, and needs to be targeted at individual, societal and structural levels. There…
How do management in civic society organisations, strategic managers, and policy-makers reason about their own role in collaborative community-based prevention and outcomes thereof, within health and …
Introduction: From a societal perspective an aging population with deterioration of health contributes to rising costs for social and health care. This project acknowledges health in older adults as a complex matter, that includes physical, social, and psychological dimensions, that needs to be targeted at individual, societal and structural levels. Thereby, we recognize that collaborative efforts by diverse actors are necessary to prevent deteri…
Feasibility, Fidelity and Acceptability of a Person‐Centred Care Transition Support Intervention for Stroke Survivors
BACKGROUND: Care transitions from hospital to home are a critical period for patients and their families, especially after a stroke. The aim of this study was to assess the feasibility, fidelity and acceptability of a co-designed care transition support for stroke survivors. METHODS: A non-randomised controlled feasibility study recruiting patients who had had stroke and who were to be discharged home and referred to a neurorehabilitation team in…
Development of Fewer Falls in MS —An Online, Theory‐Based, Fall Prevention Self‐Management Programme for People With Multiple Sclerosis
OBJECTIVE: The aim of this study was to describe the process used to develop a theory-based, online fall prevention self-management programme for ambulatory and non-ambulatory people with multiple sclerosis (pwMS). METHODS: The development process was guided by the Medical Research Council framework of complex interventions and began with a scoping review of the literature on self-management of falls in pwMS. Subsequent phases of development were…
Navigating Complexity
Challenges in achieving shared understanding throughout the project underline the importance of investing in relationship building, meaningful interaction, and continuous feedback loops. While the MRC framework provides guidance for developing complex interventions, the phased approach may only partially capture the emergence and self-organisation within complex adaptive systems
Older people in Sweden increasingly enter long-term care with extensive care needs–a register study of first-time users based on the SNAC Stockholm Eldercare study
Although previous studies have addressed factors associated with current long-term care (LTC) use, little is known about older adults’ care needs and life situation at the point of entry into formal LTC (e.g., home care, institutional care). Using data from the SNAC Stockholm Eldercare study, we identified all individuals aged ≥ 65 in the municipality of Stockholm who entered publicly funded LTC for the first time between 2015 and 2022 (n = 33,39…
Co‐Designing Local Collaboration Between Social Services, Primary Healthcare, and the Third Sector—A Realist Process Evaluation
INTRODUCTION: Co-design is increasingly used to develop research interventions and community services, highlighting the need for a deeper understanding of how this method drives change. This study evaluates the contextual factors and mechanisms shaping a co-design process intended to foster local collaboration between social services, primary care and the third sector. METHODS: A realist process evaluation was conducted in two stages: (1) formula…
Health care (14 obras) · Medicine (14 obras) · Nursing (13 obras) · Political science (9 obras) · Psychology (9 obras) · Computer Science (6 obras) · Integrated care (6 obras) · Public relations (6 obras) · Chronic Disease Management Strategies (5 obras) · Qualitative research (5 obras)