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Health care systems in transition: Equality, access and health literacy in three Scandinavian welfare states.: “The Emperor’s new clothes”: discourse analysis on how the patient is constructed in the new Swedish Patient Act
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0003-3702-8202
University West, Department of Health Sciences, Section for nursing - undergraduate level.ORCID iD: 0000-0002-2793-9937
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0003-3792-6600
2017 (English)Conference paper, Oral presentation only (Refereed)
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.

Place, publisher, year, edition, pages
2017.
Keywords [en]
discourse analysis, healthcare, patient-centered care, swedish patient act
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-11230OAI: oai:DiVA.org:hv-11230DiVA, id: diva2:1127306
Conference
COMMUNICATION, MEDICINE & ETHICS (COMET) June 26-28, 2017, Indianapolis, Indiana, USA Campus of Indiana University-Purdue University, Indianapolis (IUPUI)
Available from: 2017-07-14 Created: 2017-07-14 Last updated: 2017-12-11Bibliographically approved

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Dahlborg Lyckhage, ElisabethPennbrant, SandraBoman, Åse

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CiteExportLink to record
Permanent link

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Cite
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