DOCSLIB.ORG

Cultural Adaption of Mental Health Services to the Sami. a Qualitative Study on the Incorporation of Sami Language and Culture Into Mental Health Services

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Cultural Adaption of Mental Health Services to the Sami. a Qualitative Study on the Incorporation of Sami Language and Culture Into Mental Health Services Faculty of Health Sciences Department of Health and Care Sciences Cultural adaption of mental health services to the Sami. A qualitative study on the incorporation of Sami language and culture into mental health services. — Inger Dagsvold A dissertation for the degree of Philosophiae Doctor – June 2019 Cultural adaption of mental health services to the Sami A qualitative study on the incorporation of Sami language and culture into mental health services Inger Dagsvold Department of Health and Care Sciences Faculty of Health Sciences UiT The Arctic University of Norway Tromsø 2019 Front page photo: Inger Dagsvold Samene er forbausende lik andre folk, nemlig forskjellig. The Sami are astonishingly similar to other people, namely different. Ole Mathis Hætta Eadnái To my mother Table of contents Acknowledgements .................................................................................................................... ii Abstract ..................................................................................................................................... iv Sami abstract. Čoahkkáigeassu ................................................................................................. vi Norwegian abstract. Sammendrag ........................................................................................... viii List of articles ............................................................................................................................. x 1 Introduction ........................................................................................................................ 1 1.1 Personal motivation ..................................................................................................... 1 1.2 A moment of surprise .................................................................................................. 2 1.3 Delimitation of the focus of the study ......................................................................... 2 1.4 Outline of the thesis ..................................................................................................... 2 2 Background ........................................................................................................................ 3 2.1 Historical account: The Sami and the assimilation policy .......................................... 3 2.2 The revitalization process and contemporary Sami societies ...................................... 4 2.3 Sami languages ............................................................................................................ 7 2.4 Who is Sami? ............................................................................................................... 7 2.5 Health services to the Sami in Norway ....................................................................... 8 2.5.1 Sami patients’ rights to equitable health services ................................................ 9 2.5.2 Targeted mental health services to the Sami ...................................................... 11 3 Previous research .............................................................................................................. 15 3.1. Sami culture, ethnic identity, living conditions and mental health problems............ 15 3.2. Use of health services among the Sami ..................................................................... 16 3.3. The impact of Sami culture on the use and delivery of health services .................... 18 3.4. Cultural adaption of mental health services to the Sami ........................................... 19 3.5. The use of Sami language in mental health services ................................................. 20 4 Aims ................................................................................................................................. 23 5 Theoretical framework ..................................................................................................... 25 5.1 The concept of culture ............................................................................................... 25 5.2 Cultural adaption and cultural competence ............................................................... 26 5.3 Language use and bilingualism ................................................................................. 29 6 Methodology and methods ............................................................................................... 33 6.1 Sampling and recruitment .......................................................................................... 33 6.1.1 Choice of geographical area ............................................................................... 33 6.1.2 Recruitment and sample of clinicians ................................................................ 34 6.1.3 Recruitment and sample of patients ................................................................... 34 6.2 Data material .............................................................................................................. 35 6.2.1 Interviews ........................................................................................................... 35 6.3 Analysis ..................................................................................................................... 36 6.4 Ethical considerations ................................................................................................ 38 7 Results .............................................................................................................................. 41 7.1 Article 1 ..................................................................................................................... 41 7.2 Article 2 ..................................................................................................................... 42 7.3 Article 3 ..................................................................................................................... 43 8 Discussion ........................................................................................................................ 45 8.1 Discussion of methods ............................................................................................... 45 8.1.1 Changing the method ......................................................................................... 45 8.1.2 Reflexivity .......................................................................................................... 46 8.1.3 Interviews ........................................................................................................... 50 8.1.4 Transferability .................................................................................................... 51 8.2 Discussion of results .................................................................................................. 52 8.2.1 Sami culture as politics and practice .................................................................. 53 8.2.2 Cultural and linguistic adaptation at the institutional level ................................ 55 8.2.3 Cultural and linguistic adaption at the practitioner level ................................... 59 8.2.4 Cultural and linguistic adaptation at the intervention level ................................ 64 9 Concluding remarks ......................................................................................................... 69 9.1 Implications for practice and research ....................................................................... 70 References ................................................................................................................................ 73 Article 1 Article 2 Article 3 Appendix i Acknowledgements First, I would like to thank the participants, who generously shared their time, stories, thoughts, and experiences with me. Your stories have taught me so much, and I do hope that others will learn from them as well. I am forever grateful. Thank you! I would also like to thank the managers of the institutions who allowed me to invite clinicians and patients at their institutions to participate in this study. This PhD-journey has indeed been a “long and winding road”. I am profoundly grateful and wish to extend my sincere thanks to my supervisors. First, I would like to thank Dr Philos Vigdis Stordahl and Dr Psychol Snefrid Møllersen. Both of you have supported and inspired me throughout this process. Thank you for sharing your knowledge, for always giving me valuable feedback and for lifting my spirits numerous times. You have always believed in me and inspired me to continue and to complete this PhD. At the end of this process, PhD Bodil Hansen Blix, became my main supervisor when Vigdis retired. Bodil, you completed my supervisor team of exceptional women. Thank you for your availability and patience for sharing your knowledge and for your valuable contributions. Also, I would like to thank Dr Med and Professor in Research Ann Ragnhild Broderstad and Professor Torunn Hamran, who were co-supervisors for short periods, and PhD Anne Silviken, who became the project leader after Vigdis. I am very grateful to the three of you, for your contributions during the process of changes in supervisor and institute, and your support and enthusiasm to the work with this thesis. This project received funding from The Sami Norwegian National Advisory Unit on Mental Health and Substance Abuse, (SANKS), the Research Unit of Finnmark Hospital Trust, and the Northern Norway Regional Health Authority. Thank you!
Load more

Recommended publications
  • Detailed-Program-6Th-Ocher-2017
    6th OCHER workshop on Clinical Communication Research January 11-13, 2017 The Oslo Communication in Healthcare Education and Research (OCHER) group The aims of OCHER workshops are two: 1) To provide a fruitful arena for discussion of research projects at all stages of development, with particular attention to challenges in methodology 2) To build a Scandinavian network (with international collaboration partners) of multidisciplinary researchers with interest in communication in health care Program Start: Wednesday 11 January, 10:00 End: Friday 13 January, 16:00 Venue: Thon Hotel Triaden, Lørenskog, Norway Address: Gamleveien 88 1476 Rasta Telephone: +47 66 10 97 00 Lecturers and group discussants: Professor J. Randall Curtis, University of Washington, Seattle, USA Keynote titles: - Measuring and improving communication about palliative care: What have we learned and where do we go from here? - Communication and decision-making with families of critically ill patients: Lessons from the successes and failures Professor Vikki Entwistle, University of Aberdeen, Scotland, UK Keynote titles: - Support for self-management among people with long-term conditions: re-formulating the concept to reflect and promote good practice - “How will we know if I’ve done a good job?” The challenges of evaluating person- centred care Local faculty: Pål Gulbrandsen, Arnstein Finset, and Jan Svennevig, University of Oslo, Hilde Eide, University College of Southeast Norway, Jennifer Gerwing, Akershus University Hospital Working languages: English, Scandinavian Page 1 of 36 Wednesday January 11 Time Activity Plenary room / Room A Room B 1000 Plenary Introduction, mutual presentation 1045 Break 1100 Plenary Vikki Entwistle Support for self-management keynote 1 among people with long-term conditions: re-formulating the concept to reflect and promote good practice 1230 Lunch 1315 Plenary J.
    [Show full text]
  • Norwegian Journal of Epidemiology Årgang 27, Supplement 1, Oktober 2017 Utgitt Av Norsk Forening for Epidemiologi
    1 Norsk Epidemiologi Norwegian Journal of Epidemiology Årgang 27, supplement 1, oktober 2017 Utgitt av Norsk forening for epidemiologi Redaktør: Trond Peder Flaten EN NORSKE Institutt for kjemi, D 24. Norges teknisk-naturvitenskapelige universitet, 7491 Trondheim EPIDEMIOLOGIKONFERANSEN e-post: [email protected] For å bli medlem av Norsk forening for TROMSØ, epidemiologi (NOFE) eller abonnere, send e-post til NOFE: [email protected]. 7.-8. NOVEMBER 2017 Internettadresse for NOFE: http://www.nofe.no e-post: [email protected] WELCOME TO TROMSØ 2 ISSN 0803-4206 PROGRAM OVERVIEW 3 Opplag: 185 PROGRAM FOR PARALLEL SESSIONS 5 Trykk: NTNU Grafisk senter Layout og typografi: Redaktøren ABSTRACTS 9 Tidsskriftet er åpent tilgjengelig online: LIST OF PARTICIPANTS 86 www.www.ntnu.no/ojs/index.php/norepid Også via Directory of Open Access Journals (www.doaj.org) Utgis vanligvis med to regulære temanummer pr. år. I tillegg kommer supplement med sammendrag fra Norsk forening for epidemiologis årlige konferanse. 2 Norsk Epidemiologi 2017; 27 (Supplement 1) The 24th Norwegian Conference on Epidemiology Tromsø, November 7-8, 2017 We would like to welcome you to Tromsø and the 24th conference of the Norwegian Epidemiological Association (NOFE). The NOFE conference is an important meeting point for epidemiologists to exchange high quality research methods and findings, and together advance the broad research field of epidemiology. As in previous years, there are a diversity of topics; epidemiological methods, cardiovascular disease, diabetes, cancer, nutrition, female health, musculo-skeletal diseases, infection and behavioral epidemiology, all within the framework of this years’ conference theme; New frontiers in epidemiology. The conference theme reflects the mandate to pursue methodological and scientific progress and to be in the forefront of the epidemiological research field.
    [Show full text]
  • Clinicians' Assumptions About Sami Culture and Experience Providing Mental Health Services to Indigenous Patients in Norway
    Assumptions about Sami culture… Clinicians’ assumptions about Sami culture and experience providing mental health services to Indigenous patients in Norway Inger Dagsvold, UiT The Arctic University of Norway Snefrid Møllersen, Finnmark Hospital Trust, Karasjok, Norway Bodil H. Blix, UiT The Arctic University of Norway Corresponding author: Inger Dagsvold Duevn. 16, 9015 Tromso, Norway [email protected] +47 97461330 1 Assumptions about Sami culture… Abstract This qualitative study explores Sami and non-Sami clinicians’ assumptions about Sami culture and their experiences in providing mental health services to Sami patients. The aim is to better understand and improve the ways in which culture is incorporated into mental health services in practice. Semi-structured interviews were conducted with 20 clinicians in mental health outpatient clinics in the northern Sami area in Troms and Finnmark County in Norway. The findings show that clinician’s conceptualization of culture influences how they take cultural considerations about their Sami patients into account. To better integrate culture into clinical practice, the cultures of both patient and clinician, as well as of mental health care itself need to be assessed. Finally, the findings indicate a lack of professional team discussions about the role of Sami culture in clinical practice. Keywords: Sami, Norway, qualitative research, mental health service, cultural adaption, indigenous. 2 Assumptions about Sami culture… Introduction Culture matters in mental healthcare because it shapes the experience and expression of mental health problems, as well as health-related beliefs, help-seeking behaviors and ideas about treatment (Helman, 2007; Kirmayer, 2012; Kleinman & Benson, 2006). Cultural differences are often used as an explanation for why minority populations and indigenous people are less satisfied with health services than majority populations (Alizadeh & Chavan, 2016; King, Smith, & Gracey, 2009).
    [Show full text]
  • Adolescent Body Composition, and Associations with Body Size and Growth from Birth to Late Adolescence
    Adolescent body composition, and associations with body size and growth from birth to late adolescence. The Tromsø Study: Fit Futures – a Norwegian longitudinal cohort study. Elin Evensen1, 2, Nina Emaus2, Anne-Sofie Furberg3, 4, Ane Kokkvoll5, Jonathan Wells6, Tom Wilsgaard3, 1, Anne Winther7, Guri Skeie3 1 Department of Clinical Research, University Hospital of North Norway, Tromsø, Norway 2 Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway 3 Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway 4 Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway 5 Department of Paediatrics, Finnmark Hospital Trust, Hammerfest, Norway 6 Childhood Nutrition Research Centre, UCL Great Ormond Street, Institute of Child Health, London, UK 7 Division of Neurosciences, Orthopedics and Rehabilitation Services, University Hospital of North Norway, Tromsø, Norway Running head: Childhood growth and adolescent body composition KEYWORDS: BODY COMPOSITION, FAT MASS INDEX, DUAL-ENERGY X-RAY ABSORPTIOMETRY, BIRTH WEIGHT, CHILDREN, ADOLESCENTS Corresponding author: Elin Kristin Evensen Department of Clinical Research, Post box 78, University Hospital of North Norway N-9038 Tromsø, Norway [email protected] mobile phone +47 95 92 23 13 ORCID: 0000-0002-5962-6695 ABSTRACT Background: Fat- and fat-free masses and fat distribution are related to cardio-metabolic risk. Objectives: To explore how birth weight, childhood body mass index (BMI) and BMI gain were related to adolescent body composition and central obesity. Methods: In a population-based longitudinal study, body composition was measured by dual- energy X-ray absorptiometry in 907 Norwegian adolescents (48% girls).
    [Show full text]
  • Perinatal Depression and Anxiety in Women with Multiple Sclerosis: a Population-Based Cohort Study
    Published Ahead of Print on April 21, 2021 as 10.1212/WNL.0000000000012062 Neurology Publish Ahead of Print DOI: 10.1212/WNL.0000000000012062 Perinatal Depression and Anxiety in Women with Multiple Sclerosis: A Population-Based Cohort Study Author(s): Karine Eid, MD1,2; Øivind Fredvik Torkildsen, MD PhD1,3; Jan Aarseth, PhD3,4,5; Heidi Øyen Flemmen, MD6; Trygve Holmøy, MD PhD7,8; Åslaug Rudjord Lorentzen, MD PhD9; Kjell-Morten Myhr, MD PhD1,3; Trond Riise, PhD3,5,10; Cecilia Simonsen, MD8,11; Cecilie Fredvik Torkildsen, MD1,12; Stig Wergeland, MD PhD2,3,4; Johannes Sverre 13,14 15 1,2 1,2 Willumsen, MD ; Nina Øksendal, MD ; Nils Erik Gilhus, MD PhD ; Marte-Helene Bjørk, MD PhD Note 1. The Article Processing Charge was funded by the Western Norway Regional Health Authority. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial- NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. Neurology® Published Ahead of Print articles have been peer reviewed and accepted for publication. This manuscript will be published in its final form after copyediting, page composition, and review of proofs. Errors that could affect the content may be corrected during these processes. Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology. Corresponding Author: Karine Eid [email protected] Affiliation Information for All Authors: 1.
    [Show full text]
  • THE NORTHERN NORWAY REGIONAL HEALTH AUTHORITY (Helse Nord RHF)
    THE NORTHERN NORWAY REGIONAL HEALTH AUTHORITY (Helse Nord RHF) Northern Norway Regional Health Authority (Helse Nord RHF) is responsible for the public hospitals in northern Norway. The hospitals are organised in five trusts: • Finnmark Hospital Trust • University Hospital of Northern Norway Trust • Nordland Hospital Trust • Helgeland Hospital Trust • Hospital Pharmacy of North Norway Trust The trusts have their own management boards and are independent legal entities. Sector Healthcare Locations The four hospital Trusts are located in all of North Norway and Svalbard. Size Enterprise Data 5000 users since its launch in early 2011, will scale to approx. 12,500 users by the end of 2014. Company Website www.helse-nord.no For Reference Trond Kristiansen, E-Learning advisor. Nordland Hospital Trust Email - [email protected] Tel. +47 470 12 344 Øystein Lorentzen, Manager for IT Nordland Hospital Trust Email - [email protected] Tel. +47 900 40 566 THE NORTHERN NORWAY REGIONAL HEALTH AUTHORITY (Helse Nord RHF) Case Study Copyright © 2013 Docebo S.p.A. All rights reserved. Docebo is either a registered trademark or trademark of Docebo S.p.A. Other marks are the properties of their respective owners. To contact Docebo, please visit: www.docebo.com Company Customer Challenge The Northern Norway Regional Hospitals are often large and very Health Authority (Helse Nord RHF) complex organizations and is responsible for the public Docebo’s functionality fulfills many hospitals in northern Norway. of our needs right out of the box. The Regional Health Authority was Only basic customization with little established on the 1st January or no development is needed to "THROUGH COOPERATION 2002 when the central government implement the Docebo solution.
    [Show full text]
  • Day Surgery in Norway 2013–2017
    Day surgery in Norway 2013–2017 A selection of procedures December 2018 Helseatlas SKDE report Num. 3/2018 Authors Bård Uleberg, Sivert Mathisen, Janice Shu, Lise Balteskard, Arnfinn Hykkerud Steindal, Hanne Sigrun Byhring, Linda Leivseth and Olav Helge Førde Editor Barthold Vonen Awarding authority Ministry of Health and Care Services, and Northern Norway Regional Health Authority Date (Norwegian version) November 2018 Date (English version) December 2018 Translation Allegro (Anneli Olsbø) Version December 18, 2018 Front page photo: Colourbox ISBN: 978-82-93141-35-8 All rights SKDE. Foreword The publication of this updated day surgery atlas is an important event for several reasons. The term day surgery covers health services characterised by different issues and drivers. While ‘necessary care’ is characterised by consensus about indications and treatment and makes up about 15% of the health services, ‘preference-driven care’ is based more on the preferences of the treatment providers and/or patients. The preference-driven services account for about 25% of health services. The final and biggest group, which includes about 60% of all health services, is often called supply-driven and can be described as ‘supply creating its own demand’. Day surgery is a small part of the public health service in terms of resource use. However, it is a service that can be used to treat more and more conditions, and it is therefore becoming increasingly important for both clinical and resource reasons. How day surgery is prioritised and delivered is very important to patient treatment and to the legitimacy of the public health service. Information about how this health service is distributed in the population therefore serves as an important indicator of whether we are doing our job and whether the regional health authorities are fulfilling their responsibility to provide healthcare to their region’s population.
    [Show full text]
  • The Economic Burden of Tnfα Inhibitors and Other Biologic Treatments in Norway
    ClinicoEconomics and Outcomes Research Dovepress open access to scientific and medical research Open Access Full Text Article ORIGINAL RESEARCH The economic burden of TNFα inhibitors and other biologic treatments in Norway Jan Norum1 Objective: Costly biologic therapies have improved function and quality of life for patients Wenche Koldingsnes2 suffering from rheumatic and inflammatory bowel diseases. In this survey, we aimed to document Torfinn Aanes3 and analyze the costs. Margaret Aarag Antonsen4 Methods: In 2008, the total costs of tumor necrosis factor alpha inhibitors and other biologic Jon Florholmen5 agents in Norway were registered prospectively. In addition to costs, the pattern of use in the Masahide Kondo6 four Norwegian health regions was analyzed. The expenses were calculated in Norwegian krone and converted into Euros. 1Northern Norway Regional Results: The pattern of use was similar in all four regions, indicating that national guidelines Health Authority, Bodø, Norway; 2Department of Rheumatology, are followed. Whereas the cost was similar in the southeast, western, and central regions, the For personal use only. University Hospital of North Norway, expenses per thousand inhabitants were 1.56 times higher in the northern region. This indicates Tromsø, Norway; 3Drug Procurement that patients in the northern region experienced a lower threshold for access to these drugs. The Cooperation, Oslo, Norway; 4Hospital Pharmacy of North Norway Trust, gap in costs between trusts within northern Norway was about to be closed. The Departments Tromsø, Norway; 5Department of of Rheumatology and Gastroenterology had the highest consumption rates. Gastroenterology, University Hospital of North Norway, Tromsø, Norway; Conclusion: The total cost of biologic agents was significant.
    [Show full text]
  • The State's Ownership Report 2006
    THE STATE’S OWNERSHIP REPORT 2006 The Norwegian State Ownership Report 2006 comprises 52 companies in which the Definitions ministries administer the State’s direct ownership interests. The companies presented in this report include both companies with commercial objectives and the largest, most The list below contains definitions of the concepts used in • Capital employed – Equity plus interest-bearing debt important companies with sectoral policy objectives. this report. Please note that these definitions may deviate from those used by the companies, as several of these • Dividend ratio – funds set aside for dividends as a concepts are defined differently by the companies. proportion of the annual profit for the group. The State Ownership Report CATEGORY 1 – Companies with CATEGORY 4 – Companies with 3 The State Ownership Report 2006 commercial objectives sectoral policy objectives • Rate of return – Here used on matters pertaining to • The geometric average has been used to calculate the The Minister 50 Argentum Fondsinvesteringer AS 78 Avinor AS shares. The rate of return consists of the change in average profit share. 4 The State – an active, long-term owner 51 Baneservice AS 79 Bjørnøen AS value of the share plus the dividends paid. The geome- The Year 2006 52 Eksportfinans ASA 80 Enova SF tric average is used to calculate the average annual rate • Equity ratio – Equity as a percentage of total capital. 6 The Year 2006 for the State as 53 Entra Eiendom AS 81 Gassco AS of return, and account has been taken of the increase in Shareholder 54 Flytoget AS 82 Industritjeneste AS the value of dividends paid by assuming that dividends • Total remuneration to the Chief Executive Officer Key Figures 55 Mesta AS 83 Kings Bay AS have been reinvested to give a rate of return correspon- – salaries, pensions and other forms of remuneration in 11 Rates of return and values 56 SAS AB 84 Kompetansesenter for IT ding to five-year state bonds.
    [Show full text]
  • Gynaecology Healthcare Atlas 2015–2017 Helseatlas Hospital Referral Areas and Adjustment SKDE
    Gynaecology Healthcare Atlas 2015–2017 Helseatlas Hospital referral areas and adjustment SKDE The following fact sheets use the terms ‘hospital referral area’ and ‘adjusted for age’. These terms are explai- ned below. Aver. Hospital referral areas Inhabitants age Akershus 67% 201,911 47.2 The regional health authorities have a responsibility to provide satis- Vestre Viken 64% 196,644 48.6 Bergen 67% 178,531 46.7 factory specialist health services to the population in their catchment Innlandet 59% 166,569 50.3 area. In practice, it is the individual health trusts and private provi- Stavanger 70% 140,197 45.6 St. Olavs 66% 127,895 46.9 ders under a contract with a regional health authority that provide and Sørlandet 64% 120,307 47.8 Østfold 62% 119,927 49.2 perform the health services. Each health trust has a hospital referral OUS 72% 109,435 45.0 area that includes specific municipalities and city districts. Different Møre og Romsdal 61% 104,957 49.0 Vestfold 61% 95,564 49.3 disciplines can have different hospital referral areas, and for some ser- UNN 63% 77,413 48.2 Telemark 60% 71,665 49.8 vices, functions are divided between different health trusts and/or pri- Fonna 63% 70,749 48.2 vate providers. The Gynaecology Healthcare Atlas uses the hospital Hospital referral area Lovisenberg 84% 62,639 38.6 Diakonhjemmet 67% 59,811 46.3 referral areas for specialist health services for medical emergency ca- Nordland 61% 56,144 49.0 Nord-Trøndelag 61% 55,459 49.3 re.
    [Show full text]
  • Article.Pdf (933.2Kb)
    International Journal of Circumpolar Health ISSN: (Print) 2242-3982 (Online) Journal homepage: https://www.tandfonline.com/loi/zich20 Wrist malpractice claims in Northern Norway 2005–2014. Lessons to be learned Jan Norum, Lise Balteskard, Mette Willumstad Thomsen & Hebe Desiree Kvernmo To cite this article: Jan Norum, Lise Balteskard, Mette Willumstad Thomsen & Hebe Desiree Kvernmo (2018) Wrist malpractice claims in Northern Norway 2005–2014. Lessons to be learned, International Journal of Circumpolar Health, 77:1, 1483690, DOI: 10.1080/22423982.2018.1483690 To link to this article: https://doi.org/10.1080/22423982.2018.1483690 © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Published online: 18 Jun 2018. Submit your article to this journal Article views: 118 View Crossmark data Full Terms & Conditions of access and use can be found at https://www.tandfonline.com/action/journalInformation?journalCode=zich20 INTERNATIONAL JOURNAL OF CIRCUMPOLAR HEALTH 2018, VOL. 77, 1483690 https://doi.org/10.1080/22423982.2018.1483690 RESEARCH ARTICLE Wrist malpractice claims in Northern Norway 2005–2014. Lessons to be learned Jan Norum a,b, Lise Balteskardc, Mette Willumstad Thomsend and Hebe Desiree Kvernmoa,e aDepartment of Clinical Medicine, Medical Imaging Research Group, Faculty of Health Sciences, UiT- The Arctic University of Norway, Tromsø, Norway; bDepartment of Surgery, Finnmark hospital trust, Hammerfest, Norway; cCentre for Clinical Documentation and Evaluation, Northern Norway Regional Health Authority trust, Tromsø, Norway; dDepartment of Economics, Norwegian System of Patient Injury Compensation, Oslo, Norway; eDepartment of Orthopaedic, Hand and Plastic Surgery, University Hospital of North Norway, Tromsø, Norway ABSTRACT ARTICLE HISTORY Rough weather conditions in the subarctic areas of Norway may influence on the risk of wrist Received 2 February 2017 fracture.
    [Show full text]
  • Daming Jin Master Thesis
    Corporate Governance of Norwegian Health Trusts with Sector Political Goals Daming Jin Master thesis Department of Health Management and Health Economics UNIVERSITY OF OSLO May 15, 2011 SUMMARY Since 2002, the ownership of Norwegian hospitals has been centralized to the state. The four regional health authorities are responsible for the management of the hospitals, and the actual performance is done by the subsidiary health trusts (or HFs). As state-owned enterprises with certain sector political goals, the corporate governance of the health trusts is not exactly the same as private enterprises which mainly pursue pure business goals. The survey which the thesis uses investigates the HF board members’ opinions on some issues of sector political goals and corporate governance. The main purpose of this thesis is to find the differences of the opinions among different groups of HF board members, and to study whether the differences are consistent with relevant theories such as motivation and management theories. The data of the thesis is based on a questionnaire of the survey program Management of State-owned enterprises with sector political goals. The respondents of the survey cover all HF board members who are the target population of my research. Several quantitative methods, such as descriptive statistics and non-parametric tests, are chosen to detect the HF board members’ opinions and the differences of their opinions on the issues of sector political goals and corporate governance. The analyses mainly show that, the appointed board members with macro and broad perspective pay more attention to sector political goals than the employee representatives with micro and specific perspective do.
    [Show full text]