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

Research output: Contribution to journalJournal articleResearchpeer-review

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 languageEnglish
JournalAdvances in Nursing Science
Number of pages25
ISSN0161-9268
Publication statusSubmitted - 12 Mar 2019

Keywords

    Cite this

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    title = "The struggle between ancient welfare thinking and prevailing health care policy in Scandinavian health care 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’ degree ofchoice and autonomy",
    keywords = "New Public Management, critical perspective, ideology, discursive constructions, power, patient rights, professional responsibility",
    author = "Inger Lassen and Jeanne Strunck and Ottesen, {Aase Marie}",
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    journal = "Advances in Nursing Science",
    issn = "0161-9268",
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    AU - Strunck, Jeanne

    AU - Ottesen, Aase Marie

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    Y1 - 2019/3/12

    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

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

    M3 - Journal article

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