The struggle between ancient welfare thinking and prevailing health care policy in Scandinavian health care legislative documents

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review


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
TidsskriftInternational Journal of Health Governance
Antal sider25
StatusAfsendt - 2020


  • New Public Management, critical perspective, ideology, discursive constructions, power, patient rights, professional responsibility