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"The Emperor's new clothes": discourse analysis on how the patient is constructed in the new Swedish Patient Act.
Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.ORCID-id: 0000-0003-3702-8202
Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.ORCID-id: 0000-0002-2793-9937
Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.ORCID-id: 0000-0003-3792-6600
2017 (engelsk)Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 24, nr 2, artikkel-id e12162Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The Swedish welfare debate increasingly focuses on market liberal notions and its healthcare perspective aims for more patient-centered care. This article examines the new Swedish Patient Act describing and analyzing how the patient is constructed in government documents. This study takes a Foucauldian discourse analysis approach following Willig's analysis guide. The act contains an entitlement discourse for patients and a requirement discourse for healthcare personnel. These two discourses are governed by a values-based healthcare discourse. Neo-liberal ideology, in the form of New Public Management discourse, focusing on the value of efficiency and competition, is given a hegemonic position as laws and regulations are used to strengthen it. The new Swedish Patient Act seems to further strengthen this development. The Act underlines the increased entitlement for patients, but it is not legally binding as it offers patients only indirect entitlement to influence and control their care. To safeguard the patient's entitlement under the Patient Act, healthcare personnel should be made aware of the contents of the Act, so that they can contribute to the creation of systems and working methods that facilitate respect of the Act's provisions in daily healthcare work.

sted, utgiver, år, opplag, sider
2017. Vol. 24, nr 2, artikkel-id e12162
Emneord [en]
discourse; law; patient centred care; politics
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:hv:diva-10170DOI: 10.1111/nin.12162ISI: 000399338300005PubMedID: 27682448Scopus ID: 2-s2.0-84994779532OAI: oai:DiVA.org:hv-10170DiVA, id: diva2:1049675
Tilgjengelig fra: 2016-11-25 Laget: 2016-11-25 Sist oppdatert: 2017-12-18bibliografisk kontrollert

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Dahlborg Lyckhage, ElisabethPennbrant, SandraBoman, Åse

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