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The struggle between ancient welfare thinking and prevailing health care policy in Scandinavian health care legislatived ocuments
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0002-2358-5086
Department of health sciences, Norwegian University of Science and Technology.
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0003-3792-6600
Department of communication and psychology, Aalborg University.
2019 (English)In: 25th Annual Qualitative Health Research (QHR) Conference: Book of Abstracts, 2019, p. 67-Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Traditional welfare state systems in Scandinavia are challenged by new governance systems. Demands for efficiency and productivity in healthcare increase, raising questions about patients' positions and agency. This also implies ethical dilemmas for healthcare professionals. Comprehensively analysing the findings of previous discourse studies on how the patient is constructed in central policy texts, this study compares the position of the patient and the accompanying ideological struggles in Norway, Sweden, and Denmark. The purpose was to compare and discuss the findings of discursive constructions of patients in law and policy text from the three countries. We found an ideological struggle across the Scandinavian countries, operating at a political level, a legislative level and a healthcare level, with variation in how the new value-based patient care is constructed. We conclude that national governance systems still exert hegemonic power by strongly influencing patients' degree of choice and autonomy. The Scandinavian countries may all be heading towards a commercial healthcare market, despite their tradition of a welfare model of healthcare. Today, healthcare strategies move in the opposite direction, controlled by politicians' financial goals. The ideological struggle between welfare state governance and other governance systems, may exist also in other western countries in our globalized world.

Place, publisher, year, edition, pages
2019. p. 67-
Keywords [en]
Welfare systems, health care policy, Scandinavia
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Public health science; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-14784OAI: oai:DiVA.org:hv-14784DiVA, id: diva2:1380820
Conference
25th Annual Qualitative Health Research (QHR) Conference, October 25- 29, 2019, Vancouver, Canada
Available from: 2019-12-19 Created: 2019-12-19 Last updated: 2019-12-19Bibliographically approved

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Tengelin, EllinorBoman, Åse

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf