About
45
Publications
23,219
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1,244
Citations
Citations since 2017
Introduction
PhD in Medical Management where I applied change management and complexity thinking to develop a facilitation process which I then used to improve medical education courses. Experienced in course and educational development as well as group facilitation techniques. My goal is to combine my background in research and medicine to continually improve the way we care for our patients.
Additional affiliations
June 2011 - present
January 2003 - June 2016
Position
- Facilitate improvement projects for courses and programs at the Karolinska Institutet as well as at Danderyd’s Hospital AB
Education
January 2006 - June 2011
September 1998 - June 2012
Publications
Publications (45)
Introduction
Artificial intelligence (AI) is widely seen as critical for tackling fundamental challenges faced by health systems. However, research is scant on the factors that influence the implementation and routine use of AI in healthcare, how AI may interact with the context in which it is implemented, and how it can contribute to wider health...
BACKGROUND
Artificial Intelligence (AI) is often heralded as a potential disruptor that will transform the way we do medicine. The amount of data collected and available in health care, coupled with advances in computational power, have contributed to advances in AI and an exponential growth of publications. However, the development of AI applicati...
Background
Artificial intelligence (AI) is often heralded as a potential disruptor that will transform the practice of medicine. The amount of data collected and available in health care, coupled with advances in computational power, has contributed to advances in AI and an exponential growth of publications. However, the development of AI applicat...
BACKGROUND
Rehospitalizations are a major cost driver in patients with multiple chronic conditions and healthcare in general. Hospital readmission prediction models based on healthcare data for patients with multiple chronic conditions is very limited.
OBJECTIVE
The aim of this study is to improve and validate a hospital readmission prediction mod...
A European initiative to design a "medical information framework" conceptualised how multiple stakeholders join in collaborative networks to create innovations. It conveyed the ways in which value is created and captured by stakeholders. We applied those insights to analyse a multi-stakeholder initiative to promote improvement of Swedish healthcare...
Background
Awareness of patients’ innovative capabilities is increasing, but there is limited knowledge regarding the extent and nature of patient-driven innovations in the peer-reviewed literature.
Objectives
The objective of the review was to answer the question: what is the nature and extent of patient-driven innovations published in peer-revie...
The value-based healthcare (VBHC) concept was first proposed as a solution to many of the ills of healthcare. Since then, we have seen the term “value” defined, used, confused, and interpreted in multiple ways. While we may disagree that competition based on value will solve healthcare’s complex challenges, value is a concept integral to the future...
Although Value-Based Health Care (VBHC) is widely debated and cited, there are few empirical studies focused on how its concepts are understood and applied in real-world contexts. This comparative case study of two prominent adopters in Brazil and Sweden, situated at either end of the spectrum in terms of contextual prerequisites, provides insights...
Background
New Public Management (NPM) has been widely used to introduce competition into public healthcare. Results have been mixed, and there has been much controversy about the appropriateness of a private sector-mimicking governance model in a public service. One voice in the debate suggested that rather than discussing whether competition is “...
Research on organizational interventions needs to meet the objectives of both researchers and participating organizations. This duality means that real-world impact has to be considered throughout the research process, simultaneously addressing both scientific rigor and practical relevance. This discussion paper aims to offer a set of principles, g...
Objective
The influx of management ideas into healthcare has triggered considerable debate about if and how managerial and medical logics can coexist. Recent reviews suggest that clinician involvement in hospital management can lead to superior performance. We, therefore, sought to systematically explore conditions that can either facilitate or imp...
Objective
This study can be applied to cost the complex non-standardised processes used to treat patients with multiple chronic conditions.
Design
A mixed-method approach to cost analysis, following a modified healthcare-specific version of the seven-step Time-Driven Activity-Based Costing (TDABC) approach.
Setting
A multidisciplinary integrated...
Purpose:
Patients with multiple chronic conditions (MCC) of diabetes, cardiovascular and kidney diseases; hereafter referred to as HND (heart/cardiac-, nephrology-, diabetes mellitus-) patients, are high utilizers of health care. However, the care received is often insufficiently coordinated between different specialties and health-care providers....
Background:
Successful application of Quality Improvement (QI) methods is challenging, and awareness of the role context plays has increased. Complexity science has been advocated as a way to inform change efforts. However, empirical support is scarce, and it is still difficult to grasp the practical implications for QI interventions. The aim of t...
Introduction: The influx of management ideas into health care has triggered considerable debate about if and how managerial and medical logics can co-exist. Recent reviews suggest that clinician involvement in hospital leadership can lead to superior performance.
Objective: To systematically explore the conditions instrumental for medical leadershi...
Objective:
To explore how the See-and-Treat concept can be applied in primary care and its effect on volume and productivity.
Design:
An explanatory single-case study design with a mixed methods approach and presented according to the SQUIRE 2.0 guidelines.
Setting:
A publicly-funded, private primary care provider within the Stockholm County,...
Background:
As health care strives towards the Triple Aim of improved population health, patient experience, and reduced costs, an organization's readiness for change may be a key factor. The concept refers to the collective commitment of organizational members to a change and belief in their shared ability to make that change happen (efficacy). T...
European health systems are facing unprecedented challenges such as ageing population, decreasing budgets, changing societal values and new medical and digital technologies. A collaboration of academic institutions and healthcare providers has developed a frame of reference for healthcare executives and senior managers to help them develop competen...
This empirical study of a complex group of patients with multiple chronic concurrent conditions (diabetes, cardiovascular and kidney diseases) explores the use of deep learning architectures to identify patient segments and contributing factors to 30-day hospital readmissions. We implemented Convolutional Neural Network (CNN) and Recurrent Neural N...
Purpose
The aim of this study was to explore the qualities and capabilities effective physician leaders attribute to their success in leading change and how they developed these.
Method
The authors interviewed 20 emerging and senior leaders using a semistructured interview guide informed by appreciative inquiry. Data were subjected to an inductive...
This empirical study of a complex group of patients with multiple chronic concurrent conditions (diabetes, cardiovascular and kidney diseases) explores the use of deep learning architectures to identify patient segments and contributing factors to 30-day hospital readmissions. We implemented Convolutional Neural Network (CNN) and Recurrent Neural N...
Background:
Organizational change initiatives in health care frequently achieve only partial implementation success. Understanding an organizational readiness for change (ORC) may be a way to develop more effective and efficient change strategies. Denmark, like many countries, has begun a major system-wide structural reform which involves consider...
This study analyses the perceived key interests, importance, influences and participation of different actors in harmonizing the processes and mechanisms of a distributed research infrastructure. It investigates the EU-funded initiative, BioBanking and Molecular Resource Infrastructure in Sweden (BBMRI.se), which seeks to harmonize the biobanking s...
SBU:s rapport ger en sammanställning av den forskning om värdebaserad vård
som finns idag. Den ger en bild av hur värdebaserad vård har utvärderats i publicerade
vetenskapliga studier, med vilka inriktningar och med vilka vetenskapliga
metoder.
It has proven to be a challenge for health care organizations to achieve the Triple Aim. In the business literature, business model frameworks have been used to understand how organizations are aligned to achieve their goals. We conducted a systematic literature review with an explanatory synthesis approach to understand how business model framewor...
Objective:
Evaluate longitudinal changes in technical and non-technical skills (teamwork, situation monitoring, communication and leadership), safety culture, and clinical outcomes before and after implementation of a crew resource management (CRM) safety program.
Design:
A multi-level prospective single case study in accordance with the SQUIRE-...
Health care organizations around the world are investing heavily in value-based health care (VBHC), and time-driven activity-based costing (TDABC) has been suggested as the cost-component of VBHC capable of addressing costing challenges. The aim of this study is to explore why TDABC has been applied in health care, how its application reflects a se...
Background
The “Triple Aim” – provision of a better care experience and improved population health at a lower cost – may be theoretically sound, but paradoxical in practice as it forces together the logics of management and medicine. The aim of this study was to explore how staff and managers understand the change imperative inherent to the Triple...
Background
Health care has experimented with many different quality improvement (QI) approaches with greater variation in name than content. This has been dubbed pseudoinnovation. However, it could also be that the subtleties and differences are not clearly understood. To explore this further, the purpose of this study was to explore how hospital m...
Management concepts cycle through healthcare in trends lasting 3-5 years. This may hinder policy-makers, healthcare managers, researchers and clinicians from grasping the intricacies of a management concept and prevent organisations from realising the potential of these concepts. We, therefore, sought to characterise how the newest management conce...
Purpose:
The purpose of this paper is to explain how different emergency services adopt and adapt the same hospital-wide lean-inspired intervention and how this is reflected in hospital process performance data.
Design/methodology/approach:
A multiple case study based on a realistic evaluation approach to identify mechanisms for how lean impacts...
Infectious Diseases Department, Karolinska University Hospital, Stockholm, Sweden.
To understand the challenges faced by nurses and physicians in the treatment of patients co-infected with the human immunodeficiency virus (HIV) and tuberculosis (TB), with special focus on opportunities for information and communication technology.
Using a qualitati...
Karolinska institutet och Kungliga Vetenskapsakademien har bjudit in alla nordiska lärosäten, medicinska akademier samt Stockholms läns landsting till dialog om hur utbildningen av hälso-och sjukvårdspersonal kan möta och forma framtidens hälsoutmaningar. Att tänka och handla »glokalt« är vägen framåt.
http://www.lakartidningen.se/07engine.php?arti...
Professionals in academic health centers (AMCs) face multiple obligations, such as those from research, teaching and clinical care. The purpose of this study is to explore and develop an understanding about how well findings generated from two previous studies about the influence of multiple obligations on health care personnel fit those within hea...
Is it possible to increase the value, meaningfulness, and relevance of a course experience by integrating it with the healthcare context? Students and teachers from a course on organization, learning and leadership sought to explore this possibility through a collaborative effort with nurses from an affiliated teaching hospital.
Working as teachers...
To understand how lean thinking has been put into practice in healthcare and how it has worked.
A realist literature review. Data sources The authors systematically searched for articles in PubMed, Web of Science and Business Source Premier (January 1998 to February 2008) and then added articles through a snowball approach.
The authors included emp...
Continuing medical education (CME) is compulsory in Iran, and traditionally it is lecture-based, which is mostly not successful. Outcome-based education has been proposed for CME programs.
To evaluate the effectiveness of an outcome-based educational intervention with a new approach based on outcomes and aligned teaching methods, on knowledge and s...
The Linköping Health University is an example of a medical school which has succeeded, not only with a major curricular change, transforming itself into a problem-based learning school, but also in contributing to innovations in medical education.
To analyse the Linköping example in order to better understand how to succeed with innovations in medi...
Research into the efficacy of programs of leadership and group dynamics in undergraduate medical education is sparse.
The aim of this study was to apply and test a pre- post evaluation design of a one-week experiential learning based course of group dynamics.
Two questionnaires were sent to 160 medical students, before and after the course. The res...
Continuing medical education (CME) is compulsory for physicians in Iran. Recent studies in Iran show that modifications of CME elements are necessary to improve the effectiveness of the educational programmes. Other studies point to an inappropriate, even irrational drug prescribing. Based on a needs assessment study regarding CME for general physi...
Projects
Project (1)
