Legitimerad vårdpersonals erfarenhet av ersättningsmodellen inom vårdval Halland i förhållande till individer med intellektuell funktionsnedsättning.

Sammanfattning: The care choicesystem and its replacementmodel were introduced in Region Halland in 2007 with the aim of contributing to good quality, continuity, high accessibility but also increased freedom of choice in primarycare for the individual. The aim of this study was to illustrate the experience of qualified healthcare professionals in primary care in Region Halland had regarding the replacementmodel within care choiceselection in relation to individuals with intellectual disabilities. Qualitative survey responses from healthcare professionals in primarycare were analyzed according to the Grounded Theory method. The result identified a main category, a theme, "care needs of individuals with intellectual disabilities are not fully met" and two subcategories "flaws in replacementmodel" and "complex care needs". The theme and its subcategories are described in a table that illustrates the clinical experience of the healthcarestaff regarding how care needs are met for individuals with intellectual disabilities in relation to the replacementmodel. It can be noted that the clinical effects that the replacementmodel in the healthcaresystem generated in terms of continuity and accessibility for individuals with intellectual disabilities have largely been negative. The districtnurse with a leading role in nursing, organization and leadership holds the core competence important to utilize in the pursuit of developing and sustainable care. Healthcare needs to master the responsibility that lies with them so that the care needs of individuals with IF can be fully met. Further research is needed in this area as a basis for the development of the replacementmodel and its clinical significance.