The purpose of this project is to characterize system variables (elements) and their relationships (connections) that are relevant to different interventions in prevention, reablement approaches, and home care, as well as the needs and satisfaction of home care users.

The research question is: What are the components and mechanisms of impact in the different services? What could facilitate the change process within the healthcare system and in this context?

This aims to explore the effects of change work and interventions, such as the person-centered preventive and rehabilitative approach, on the provision of services, workload, work-related stress, home care users' experiences, and other organizational factors. By evaluating and summarizing the implementation and outcomes from projects , , , and , the goal is to create an implementation model that can be used in future primary and home care settings in regions and municipalities.

Study design and research setting

This study is of a synthesizing nature and therefore follows a modeling methodology rather than an intervention study design. The study uses participatory model building of system dynamics models to capture the perspectives of different stakeholders, as well as the expertise of the researchers who conducted the studies in projects , , , and .

As a methodological innovation, the team around Meijer at KTH has developed a stepwise modeling approach, following these steps:

1. Literature review of relevant literature in the field.
2. Review of all the literature found for causal logic and effect chains.
3. Construction of an initial system dynamics model, with literature validity (only on structural aspects).
4. Review of the model using a participatory method where various stakeholder groups improve, validate, or critique the model.
5. Validation by researchers to see if their results are still valid in the improved model.
6. A scenario testing phase to validate the model for its conclusions/use with professionals.

This project will focus on Swedish home care and tax-funded universal healthcare systems.