title: Primary care managers' perceptions of their capability in providing care planning to patients with complex needs.
abstract: OBJECTIVE
  The aim of this study was to investigate primary care managers' perceptions of their capability in providing care planning to patients with complex needs. Care planning is defined as a process where the patient, family and health professionals engage in dialogue about the patient's care needs and plan care interventions together.
  
  
  METHODS
  Semi-structured interviews with 18 primary care managers in western Sweden were conducted using Westrin's theoretical cooperation model. Data were analysed using a qualitative deductive method.
  
  
  RESULTS
  Results reveal that the managers' approach to care planning was dominated by non-cooperation and separation. The managers were permeated by uncertainty about the meaning of the task of care planning as such. They did not seem to be familiar with the national legislation stipulating that every healthcare provider must meet patients' need for care interventions and participate in the care planning.
  
  
  CONCLUSIONS
  To accomplish care planning, the process needs to cross - and overcome - both professional and organisational boundaries. There is also a need for incentives to develop working methods that promote local cooperation in order to facilitate optimal care for patients with complex needs.
authors.affiliation: Närhälsan Kungshamn Health Centre, Region Västra Götaland, Kungshamn, Sweden; Academy of Sahlgrenska, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Sweden. Electronic address: lena.g.larsson@vgregion.se.
authors.forename: Lena Gunvor
authors.initials: LG
authors.lastname: Larsson
authors.affiliation: Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Sweden.
authors.forename: Siv
authors.initials: S
authors.lastname: Bäck-Pettersson
authors.affiliation: Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Sweden; Centre on Health Care Improvement and Innovation, Chalmers University of Technology, Gothenburg, Sweden.
authors.forename: Sven
authors.initials: S
authors.lastname: Kylén
authors.affiliation: Academy of Sahlgrenska, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Sweden.
authors.forename: Bertil
authors.initials: B
authors.lastname: Marklund
authors.affiliation: Academy of Sahlgrenska, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Academy of Sahlgrenska, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Eric
authors.initials: E
authors.lastname: Carlström
mesh_terms: D000071959:Case Managers / Q000523:psychology*; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D008297:Male; D010347:Patient Care Planning; D011320:Primary Health Care; D036301:Qualitative Research; D013548:Sweden
keywords: Care planning; Complex care needs; Inter-organisational cooperation; Primary care managers