Developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice

Abstract Background Increasing incidences of cancer combined with prolonged survival have raised the need for developing community based rehabilitation. The objectives of the analysis were to describe and interpret the key issues related to coordination and coherence of community-based cancer rehabilitation in Denmark and to provide insights relevant for other contexts. Methods Twenty-seven rehabilitation managers across 15 municipalities in Denmark comprised the sample. The study was designed with a combination of data collection methods including questionnaires, individual interviews, and focus groups. A Grounded Theory approach was used to analyze the data. Results A lack of shared cultures among health care providers and systems of delivery was a primary barrier to collaboration which was essential for establishing coordination of care. Formal multidisciplinary steering committees, team-based organization, and informal relationships were fundamental for developing coordination and coherence. Conclusions Coordination and coherence in community-based rehabilitation relies on increased collaboration, which may best be optimized by use of shared frameworks within and across systems. Results highlight the challenges faced in practical implementation of community rehabilitation and point to possible strategies for its enhancement

Campus-Wide Parking Vision Plan

The University of Massachusetts Amherst Parking Vision Plan is a key component of the University of Massachusetts Amherst Campus Master Plan 2012. With the campus in the midst of a $1 billion capital improvement program, the Campus Master Plan looks 40 years into the future, matching academic vision with upgraded facilities to strengthen the sense of community and enhance the campus\u27s beauty. The Parking Vision Plan articulates a parking system vision and guiding principles that support the vision of the Master Plan; it institutes a blueprint for parking-related decisions and policies on the UMass Amherst campus. The report discusses the study purpose and methodology, presents principles and plans for new parking facilities, provides an assessment of existing and future parking conditions, and summarizes newr and long-term parking recommendations