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The Chain Messenger system was developed as a cooperation project between the Pirkanmaa hospital district and nine health centres. Workers from health centres, in other words the Chain Messengers, worked for one week in the special health care according to a programme that was designed beforehand. The purpose of the study was to clarify if know-how and cooperation can be developed by means of the Chain Messenger system. The Chain Messengers filled in the questionnaires both before the period (n = 225) and after the period (n = 220). The contact persons who were named in the special health care were sent the questionnaires when the operation started in 2006 (n = 56) and in the autumn 2007 (n = 44). The Chain Messengers updated their knowledge and skills and enhanced readiness for examining, treating and directing patients. Becoming acquainted with other workers’ functions and creating networks improved cooperation. The period also changed attitudes towards work. The contact persons in the special health care emphasized the improvement of cooperation. The Chain Messenger system offers a concrete tool for developing know-how and cooperation. The challenge is utilising of the received experiences in the work community.
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