The Puzzle of Coherence: Cross-sectorial Collaboration in Danish Healthcare

Anne Bendix Andersen, Kirsten Frederiksen, Kirsten Beedholm, Raymond Kolbæk

Research output: Contribution to conference without a publisher/journalAbstractResearchpeer-review


During the past decade, politicians and health care providers have strived to create a coherent health care system across primary and secondary health care systems in Denmark. Nevertheless, elderly patients with chronic diseases (EPCD) continue to report experiences of poor-quality care and lack of coherence in treatment and patient pathways.

The aim of our study is to explore the role of health care providers in furthering coherence. Our ambition is to identify areas for improvement or change of collaborative practice between health care providers in municipalities, hospitals and general practice.

Method and material
We use an ethnographic method and apply field observation for data collection.
10 patients older than 65 years with multiple chronic diseases are followed through their patient pathways from admission to an acute care ward to discharge and later in meetings with health care providers in general practice, outpatient clinics, home care and physiotherapy.
Furthermore, field observations are conducted in general practice, home care and rehabilitation settings.

Knowledge about the practice of cross-sectorial collaboration is crucial to the future planning of collaborating initiatives in health care. The present study will generate new, valuable insight into the areas of cross-sectorial health care collaboration. Our findings may facilitate change in current practice and improve the quality and coherence in patient pathways of EPCD.
The findings of this study will be useful both nationally and internationally in preparation of health agreements, implementation of new collaboration forms among health care providers, and in improvement of delegation and transfer of information and assignments across sectors in health care.
Original languageEnglish
Publication date23 May 2016
Publication statusPublished - 23 May 2016


  • cooperation


Dive into the research topics of 'The Puzzle of Coherence: Cross-sectorial Collaboration in Danish Healthcare'. Together they form a unique fingerprint.

Cite this