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


Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

1 Citationer (Scopus)


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
Udgave nummer1
Antal sider23
StatusUdgivet - 16 nov. 2020

Bibliografisk note

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 2020 Elsevier B.V., All rights reserved.


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