From: ‘Thinking outside the box’: advanced geriatric nursing in primary health care in Scandinavia
The current challenges in health services for older population | ||
---|---|---|
Meaning units | Sub-category | Category |
The physicians cannot handle it all, we have to raise our level to handle the current needs of the aging population. | Medical competence | Lack of competent staff |
It happens that we don’t have an on-call physician. Then we have to contact the hospital … If we would have a physician here the patients would get treatment earlier, and would not have to travel to the hospital (that is hours away) | Medical competence | Lack of competent staff |
Firstly, we have no geriatrician, a doctor, and that it is very odd… how serious is the task taken...? I think of doctors and hospital, who is engaging in these old people, geriatric patients… | Competence in gerontology and geriatrics | Lack of competent staff |
When it comes to care for the older population there is a need… a need of education in geriatrics… everyone working should have it… it goes without saying… it is the foundation. | Competence in gerontology and geriatrics | Lack of competent staff |
This… collaboration between these different levels of care and different care givers… There we have a big problem. | Collaboration | Organisational challenges |
The challenge is also that you lack a really good cooperation with the physicians. With some physicians there is good cooperation, with others there is not, and then it is like running the forehead against a wall. | Collaboration | Organisational challenges |