Organizational and provider structural changes and resource utilization of services for the elderly in Norway

This paper presents recent innovations in organizing provider work and changes in organizational structure that promote: (1) reduction in fragmentation of care (2) improved continuity and quality of care and (3) improved cost-containment efforts and (4) better decision making. Data is also given on resource utilization. It is anticipated that these models of care and services are prototypes of future models of care for the elderly as this population increases in number. Data is also presented that suggests that, eventually, increases in taxes and social security contributions and/or the rationing of health care may be necessary to meet pensioner health needs.