Research groups at LIME
Centres at LIME
At HIC the research focuses on clinical informatics in the areas Patient Centred Information Systems, Decision support and Decision making.
CHE covers ethical issues relating to clinical ethics and research ethics. This amounts to a very wide spectrum of topics, of which the following three, Healthcare priorities, patients´rights and research ethics, are among the most pivota.
Suicide is the result of complex interactions between genetic, individual and social factors. We believe that the most effective way of approaching this complex topic is through interdisciplinary research. NASP brings together different scientific fields such as genetics, psychology, psychiatry, epidemiolgy, etc and combines findings to produce integrated theoretical frameworks about suicidal behaviour.
The research process at NASP can be described as cycles between basic and applied research. Through basic research, we try to understand fundamental aspects of suicidal behaviours, while in applied research we aim primarily at the reduction of suicidal behaviours by developing and evaluating means of suicide prevention.
Units within the L-section
The Evaluation Unit conducts research and manages projects within the area of evaluation. All our evaluation projects rely on adequate research and have a strong scientific base. At the unit we furthermore develop methods and tools for evaluation, with the aim to contribute to, and strengthen the field of evaluation further. We are happy to collaborate in different projects, either by supporting an existing process or by building and structuring the whole evaluation. For example, this can involve planning the process, finding the best model or developing the most suitable methods and tools for the area to be evaluated, implementing, evaluating and reporting the findings. This is done with the approach that every project is unique, and always in close collaboration with the stakeholders. The Evaluation Unit support and manage evaluations in the areas of research, education and in a clinical context.
The Medical Statistics Unit are involved in teaching, assignments and research in the field of medical statistics.
UME's goal is to develop knowledge and influence practices within medical education, including; research, teacher courses, and educational development.
Research groups within the L-section
Tobacco, Policy, Practice & Prevention (TPPP)
Units within Medical Management Centre (MMC)
Bioentrepreneurship is an interdisciplinary field of research within social sciences. Based on theoretical perspectives from management, organisation, strategy and behavioural sciences, we explore challenges facing life science industry. A wide range of methodologies are applied including cases studies, network analysis, patent analysis, bibliometrics, interviews and surveys. The focus of research are different actors in the Life Sciences Industry, e.g. companies, universities, venture capital firms, governmental organizations and entrepreneurs, both on a national and an international level.
Research groups within MMC
The research group AIM (Action through Information Management) studies how the large amounts of data and information in healthcare can be transformed into knowledge and action that supports change and innovation. By using informatics, we can accelerate the process of generating new knowledge that reaches the caregiver and patient faster. By transforming the information, data can be presented in different ways that support patients, health care providers and policy makers in their decisions. The research group works on various projects in areas such as e-health, value based healthcare, decision support, organization development and quality improvement.
We strive to bridge the medical management know-do gap by researching and developing innovative management practices together with practitioners that generate value for staff and patients.
We recognize the great work that is being done in health care today. That is why our goal is to establish long-term research and educational collaborations with health care providers so that what works can be understood and shared with many. The clinical management research group aims to improve clinical impact by contributing to the knowledge about how we can coordinate, lead, and improve the delivery of health care services so as to achieve better outcomes for patients and create value for staff, individuals and their families.
The Programme for Improvement, Implementation and Evaluation Research (PIIE) studies and uses research into how changes have been implemented, the results of the change for different stakeholders, and what helped and hindered the change.
Health economics may be defined as the application of economic theories and methods on health and health care. The research group focus on economic aspects of health system performance concerning issues as health care financing, regulation and organisation. These include analysis of the design and evaluation of incentive and regulatory mechanisms, the assessment of the productivity of health care institutions and the evaluation of the health care system at the macro level. The research group has carried out evaluation of health care reforms concerning freedom of choice, payment incentives and competition. International comparison of health systems is also an important part of the research.
The Health Innovations research group is dedicated to studying health innovation along the entire pathway from the idea stage through to use in society. The group espouses an interdisciplinary approach to the study of the scientific, technical, environmental, organizational and commercial challenges involved. Innovations are realized in a complex system involving interactions between a range of different actors who are dependent on institutions, resources and knowledge. Thus we also study how policies, funding, knowledge production and development influence the innovation process.
Health economics may be defined as the application of economic theories and methods on health and health care.
Health outcomes measurement and valuation of health status are crucial in studies of population health and health inequalities and in economic evaluation. The EQ-5D instrument is used as a health outcomes measure in several projects performed within the group.
Economic evaluation involves the comparison of costs and benefits from alternative uses of resources and is usually classified as cost-benefit analysis or cost-effectiveness analysis. The purpose of economic evaluations is to assess the "value for money" of different health care programs and interventions.
Our research is within the multidisciplinary field of scientific enquiry that studies how social factors, financing systems, organisational structures and internal and external processes, health technologies and personal behaviours affect access to health care systems, the quality and cost of health care and ultimately our health and well-being. Factors influencing effective use of evidence in policy and practice is a key research area. Our research domains include individuals, families, organisations, institutions, communities, populations and societies. Our main priorities are vulnerable groups in resource-deprived settings.
We focus on conducting high quality, health care science-relevant research through multi-disciplinary collaboration, and on improving its translation into practice by linking research, education and practice.
The research group for Intervention processes and outcomes (PROCOME) focuses on research on effects and implementation of innovative improvement programs in different type of organizations, with specific focus on health and social care.
Leadership, evaluation and organisational development (LEAD) studies and evaluates leadership, team and organisational development in health care.
The LEAD research group study how health care in different hierarchical levels is being managed and lead. We also conduct research on and evaluate national investments and efforts, and local development and improvement programs. All research is being performed in close collaboration with the health care actors.
By developing theory and method we strive to contribute to extended knowledge on the importance of management and leadership for improved health care quality, work environment and use of resources. Our research permeates our education on undergraduate, advanced and on research level.
QRC- Quality Register Centre
QRC Stockholm (QRC) is a Regional registry centre for National Quality Registries (NQR) and also forms a strategic cooperation between Karolinska Institutet (KI) and the Stockholm County Council.
Sustainable organizational learning innovation, improvement & development in health and social services (SOLIID)
SOLIID - is a research network with two main nodes, Karolinska Institutet and Umeå University. SOLIID works with action oriented organizational research within health and social services, with a focus on sustainability in organizational learning, innovation, improvement and development.
Our projects range from the field of cognitive systems engineering to managing large datasets in order to build better safety information systems. Knowledge transfer is an important part of our mission. We give courses and lectures on patient safety.
Other research groups within LIME
In this research the context is mainly the clinical environment including also web based learning. The research projects are targeting learning processes related to students, supervisors, professionals and patients. The core of this research area is to expand the knowledge about learning and teaching in pedagogical encounters in the health care environment. Pedagogical encounters are defined as situations where the learner and the teacher/facilitator/professional meet and interact for the purpose of learning (Silén 2013).
Our increasingly global and multicultural society alongside an egalitarian health care policy places new demands on us all. My research area is in multicultural health and care research. I give four projects as examples:
1. Early mental health promotion measures are needed. Events that elicit stress after arrival in the reception country, “postmigration stress”, have a negative impact on health-related quality of life among newcomers. An innovative model of culturally tailored health promotion groups for refugees have been performed by my research group among newcoming refugees and relatives in several Swedish contexts with promising results. The results are of significance not only for the individual and his/her relatives but also for healthcare and society as a whole. We have ongoing collaboration with health staff in Växjö. This intervention is also significant for chronic patients as foreign borns have higher amount of public health disorders (eg diabetes, heart problems, cancer) than the Swedish borns.
2. Technological progress and changes in health care practices, with an increased focus on clinical communication and contemplation, have successively led to the increased use of simulation models (Virtual patients including Virtual interpreter and Virtual supervisor) as a method of instruction, learning and clinical interviewing within the field of medicine. To achieve this, I and my research group have chosen a strategy of developing computerised patient simulations in national (SU) and international (Harvard) collaborations, where medical students and in future psychology students and resident doctors can practice and provide feedback to a virtual counsellor. A new project funded by FORTE and ALF-Ped is entitled “Virtual Clinical Encounters between doctors and refugee patients for medical assessment and follow-up: To develop, test and evaluate the impact on empathy” (Erica Rothlind, PhD in progress).
3. Serious parental illness is a risk factor of ill health in the children of the family. Health care staff in Sweden is legally obliged to ensure that the children of seriously ill parents are informed and have received advice and support regarding their parents’ illness. In primary health care, no method that can help parents communicate information about their illness to their children exists. The aim of this doctoral project (Charlotte Oja) is to test the safety and effects of the psycho-educational method “Let´s Talk about the Children” for use in primary health care for helping seriously ill parents to relate information about their illness to their children.
4. Translation/backtranslation and validation of General Medical Council Multi-Source Feedback Questionnaires for evaluation clinical competence among residence doctors in family medicin a pilot project and supervisor in VESTA (residence doctors in Family Medicine (AT/ST unit at APC)