The Diffusion of Home-Based Reablement in Norwegian Municipalities

• Main Authors: Bliksvær T, Bertelsen TM, Fabritius MK, Hansen MB, Lunde BV, Waldahl RH
• Format: Article in Journal/Newspaper
• Language: English
• Published: Dove Medical Press 2021
• Subjects: restorative care; innovativeness; diffusion of innovations; health care service; elderly care; Public aspects of medicine; RA1-1270; Norway; Bodø; Lunde; Bliksvær
• Online Access: https://doaj.org/article/3492afc25f9a4571bd2fcc92fc0cc087

Trond Bliksvær,1 Tilde Marie Bertelsen,2 Merete Kvamme Fabritius,1 Morten Balle Hansen,2 Bente Vibecke Lunde,3 Ragnhild Holmen Waldahl1 1Nordland Research Institute, Bodø, Norway; 2Center for Organization, Management and Administration (COMA), Department of Politics and Society, Aalborg University, Aalborg, Denmark; 3Faculty of Social Sciences, Nord University, Bodø, NorwayCorrespondence: Trond BliksværNordland Research Institute, Pb 1490, Bodø, 8049, NorwayTel [phone]Email [e-mail]: Home-based reablement (HBR) has achieved significant international prominence in recent years. In the Nordic countries, HBR has been introduced as an innovative care model within the municipal health care sector that answers the need for better and more effective service delivery. But knowledge about how innovations can be spread in the municipal health care sector is scarce. We also know little about what role first-line managers (FLMs) may play for the diffusion of innovations.Purpose: To describe and explain adoption of HBR in municipalities in Norway and to explore if there is a relationship between early/late adoption and the FLM’s perception of innovativeness in their organization. Such knowledge is valuable for the understanding of the role of FLM for the diffusion of innovations in the health care sector.Methods: A cross-sectional national online survey was carried out among FLM in the eldercare sector in 422 Norwegian municipalities. The response rate was 64%. The analysis was based on univariate and bivariate techniques, factor analysis, and multiple linear regression.Results: A bivariate analysis revealed that early adoption is associated with a high score on perception of innovativeness among FLMs. Innovators and early adopters scored highest (5.65) on perception of innovativeness, followed by early majority (5.31) and late majority (5.18). The lowest score was found among Laggards. A multiple regression analysis revealed that a substantial part of the positive relationship between early adoption ...