The struggle between welfare state models and prevailing healthcare policy in Scandinavian healthcare legislative documents

Elisabeth Dahlborg; Ellinor Tengelin; Elin Aasen; Jeanne Strunck; Åse Boman; Aase Marie Ottesen; Berit Misund Dahl; Lindis Kathrine Helberget; Inger Lassen

doi:10.1108/IJHG-04-2020-0041

The struggle between welfare state models and prevailing healthcare policy in Scandinavian healthcare legislative documents

Elisabeth Dahlborg, Ellinor Tengelin^*, Elin Aasen, Jeanne Strunck, Åse Boman, Aase Marie Ottesen, Berit Misund Dahl, Lindis Kathrine Helberget, Inger Lassen

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

9 Citations (Scopus)

Abstract

Welfare state governance systems in Scandinavia challenges by new governance
systems and raises questions about patient roles and ethical dilemmas when efficiency
and productivity in healthcare increase. New systems may affect health legislation
hence the aim is to compare findings of discursive constructions on patients in law
texts. We found three main ideological struggles, operating at political level, a
legislative level and a healthcare level. Although variation in how values based patient
care is constructed, a common denominator was that national governance systems
continue to exert hegemonic power by strongly influencing the patients’ degree of
choice and autonomy

Original language	English
Journal	International Journal of Health Governance
Volume	26
Issue number	1
Number of pages	23
ISSN	2059-4631
DOIs	https://doi.org/10.1108/IJHG-04-2020-0041
Publication status	Published - 16 Nov 2020

Keywords

Healthcare
Discourse
Ideology
New public management
Patient rights
Policy
Scandinavia

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Cite this

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title = "The struggle between welfare state models and prevailing healthcare policy in Scandinavian healthcare legislative documents",

abstract = "Welfare state governance systems in Scandinavia challenges by new governancesystems and raises questions about patient roles and ethical dilemmas when efficiencyand productivity in healthcare increase. New systems may affect health legislationhence the aim is to compare findings of discursive constructions on patients in lawtexts. We found three main ideological struggles, operating at political level, alegislative level and a healthcare level. Although variation in how values based patientcare is constructed, a common denominator was that national governance systemscontinue to exert hegemonic power by strongly influencing the patients{\textquoteright} degree ofchoice and autonomy",

keywords = "New Public Management, critical perspective, ideology, discursive constructions, power, patient rights, professional responsibility, Healthcare, Discourse, Ideology, New public management, Patient rights, Policy, Scandinavia",

author = "Elisabeth Dahlborg and Ellinor Tengelin and Elin Aasen and Jeanne Strunck and {\AA}se Boman and Ottesen, {Aase Marie} and Dahl, {Berit Misund} and Helberget, {Lindis Kathrine} and Inger Lassen",

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AU - Dahlborg, Elisabeth

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AU - Aasen, Elin

AU - Strunck, Jeanne

AU - Boman, Åse

AU - Ottesen, Aase Marie

AU - Dahl, Berit Misund

AU - Helberget, Lindis Kathrine

AU - Lassen, Inger

N1 - Funding Information: Funding for this study was provided by Riksbankens jubileumsfond (grant nr F17- 1120:1). The funding body did not in any way influence the study design, data collection, analysis or manuscript writing and submission. Publisher Copyright: © 2020, Emerald Publishing Limited. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

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N2 - Welfare state governance systems in Scandinavia challenges by new governancesystems and raises questions about patient roles and ethical dilemmas when efficiencyand productivity in healthcare increase. New systems may affect health legislationhence the aim is to compare findings of discursive constructions on patients in lawtexts. We found three main ideological struggles, operating at political level, alegislative level and a healthcare level. Although variation in how values based patientcare is constructed, a common denominator was that national governance systemscontinue to exert hegemonic power by strongly influencing the patients’ degree ofchoice and autonomy

AB - Welfare state governance systems in Scandinavia challenges by new governancesystems and raises questions about patient roles and ethical dilemmas when efficiencyand productivity in healthcare increase. New systems may affect health legislationhence the aim is to compare findings of discursive constructions on patients in lawtexts. We found three main ideological struggles, operating at political level, alegislative level and a healthcare level. Although variation in how values based patientcare is constructed, a common denominator was that national governance systemscontinue to exert hegemonic power by strongly influencing the patients’ degree ofchoice and autonomy

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