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'The Emperor's new clothes': discourse analysis on how the patient is constructed in the new Swedish Patient Act.
- Source :
- Nursing Inquiry; Apr2017, Vol. 24 Issue 2, pn/a-N.PAG, 11p, 3 Diagrams, 2 Charts
- Publication Year :
- 2017
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL care
DISCOURSE analysis
LABOR productivity
LEGISLATION
RESEARCH methodology
MEDICAL quality control
MENTAL orientation
PATIENTS
PRACTICAL politics
PUBLIC welfare
SELF-efficacy
PATIENT participation
PUBLIC sector
INFORMATION needs
PATIENT-centered care
HEALTH literacy
ECONOMIC competition
PATIENT autonomy
PATIENT decision making
Subjects
Details
- Language :
- English
- ISSN :
- 13207881
- Volume :
- 24
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Nursing Inquiry
- Publication Type :
- Academic Journal
- Accession number :
- 122451682
- Full Text :
- https://doi.org/10.1111/nin.12162