Samskabelse på tværs af sektorer: Set ud fra typologi og styringsparadigmer

Jette Christensen

Student thesis: Master executive thesis


This Thesis investigates the collaboration and the co-creation in the cross-sectional healthcare.The focus is to investigate which possibilities and boundaries central actors experience in the crosssectional rehabilitation areas. In Denmark rehabilitation takes place both at the hospital and in the local municipalities. Citizens should be center stage in the public-sector, both at the hospital and in the local communities. The patient/citizen perspective is central to the task performance, meaning interaction with the patient/citizen and the relatives are essential to get good value of the rehabilitation. The research question was: • Which barriers and possibilities for collaboration and co-creation are seen in the field of crosssectional rehabilitation. • How do the physiotherapists, occupational therapists and managers perceive and understand cocreation, and how does it appear in the cross-sectional rehabilitation area? • How do the barriers and possibilities seen int the interview connect to Lerborg’s paradigm theory? In this thesis co-creation is seen from a model created by Ulrich (2016). In this model co-creation is illustrated as four different areas depending on involvement of the citizens as active participants or more as passively receiving public services. This paper uses Ulrichs model and definitions of co-creation to examine which of the four areas the therapists and leaders were able to identify in rehabilitation. Collection of data took place through, focus group interviews with physio- and occupational therapists from both the hospital and the rehabilitations centers at the municipalities. Furthermore, the presidency of the cross-sector comity was interviewed as representatives of the management level. These interviews provided a good basis for the analyses as they were asked to focus on the possibilities and barriers they saw in the cross-sectional rehabilitation area. Finally, data has been analyzed using Lerborg’s paradigm theory of management in the public sector to see how the possibilities and barriers seen by the physiotherapist and leaders related to Lerborgs´s paradigms. The findings show that both the therapists and the presidency see co-creation as new or unknow in the healthcare and rehabilitation area where the focus usually is on patient involvement and patient satisfaction. Only two of the four areas are seen in the data, controlled co-creation and the accountable co-creation. As facilitators in the cross-sectional collaboration, relationship is seen as very important by both therapists and leaders. Additionally, the therapists find professionalism also very important. As barriers are concerned, they all agree that there are some structural circumstances – which must be handled in the local context.

EducationsMaster of Public Governance, (Executive Master Programme) Final Thesis
Publication date2019
Number of pages52