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Experiences from Decentralised Radiological Services in Norway - a rural case study
Aud Mette Myklebust1,2, Hilde Eide3, Brian Ellis4
1Department of Optometry, Radiography and Lighting Design, Faculty of Health and Social Sciences University of South-Eastern Norway, Postboks 235, 3603, Kongsberg, Norway. aud.mette.myklebust@usn.no.
BMC Health Services Research
|December 14, 2019
Summary
Decentralising radiological services to rural Norway presents organizational challenges. Improved funding, training, and collaboration are crucial for quality and patient-centered care.
Area of Science:
- Healthcare Management
- Radiology Services
- Public Health Policy
Background:
- Norway's Coordination Reform (2012) aims to decentralize healthcare.
- Radiological services, resource-intensive, are typically hospital-based.
- Selected conventional X-ray services have been decentralized to rural areas.
Purpose of the Study:
- To explore stakeholder experiences with organizing decentralized radiological services in rural Norway.
- To identify challenges and opportunities in rural radiology service delivery.
Main Methods:
- Qualitative single case study design.
- Focus groups with healthcare professionals and managers.
- Thematic analysis of emergent themes: decentralization, quality, professional roles, organization, and economics.
Main Results:
- Organizing rural radiological services is challenging due to Norway's health service structure.
- Inadequate training for non-radiographic staff impacts service quality and safety.
- The Norwegian funding system and inter-professional cooperation pose significant hurdles.
Conclusions:
- Developing satellite links with acute hospitals can improve rural radiology services.
- Prioritizing service quality and implementing patient-centered funding models are recommended.
- Enhanced collaboration and clear role definitions are vital for consistent, high-quality radiology services across Norway.
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