Resumé
The purpose of this paper is to explore how the patient comes to be seen as a solution to governance problems.
Design/methodology/approach
The paper studies health policy discourse in Denmark from 1970 to 2000. Based on an analysis of national policy documents, the paper traces how the patient is redefined as part of governance problems.
Findings
The paper suggests that "the new patient" coincides with changes in healthcare governance and is not just a clinical concern. The persona of the patient has been mobilized in dissimilar ways in addressing specific policy problems, resulting in both a duty-based idea of a socio-economically responsible patient and a rights-based idea of a demanding health-service consumer.
Research limitations/implications
The study is limited to policy documents that address healthcare governance in one country. It does not describe the broader evolution of patient ideas or the practical impact of political discourses.
Practical implications
Practitioners should expect to encounter conflicting views of patient responsibilities, interests and involvement. Such conflicts are not only related to a lack of conceptual clarity but are indicative of how the new, active and responsible patient has become a key clinical concern and a central element of health policy governance.
Originality/value
The paper contributes to the understanding of "the new patient" in discussions on patient-centred healthcare and empowerment by emphasizing the definition of the patient in a political context. The latter has often been ignored in existing research.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | International Journal of Public Sector Management |
| Vol/bind | 30 |
| Udgave nummer | 1 |
| Sider (fra-til) | 85-98 |
| Antal sider | 14 |
| ISSN | 0951-3558 |
| Status | Udgivet - 6 jan. 2017 |
Citer dette
}
“The new patient” : the emergence of a political persona. / Zinck Pedersen, Kirstine; Kjær, Peter.
I: International Journal of Public Sector Management, Bind 30, Nr. 1, 06.01.2017, s. 85-98.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
TY - JOUR
T1 - “The new patient”
T2 - the emergence of a political persona
AU - Zinck Pedersen, Kirstine
AU - Kjær, Peter
PY - 2017/1/6
Y1 - 2017/1/6
N2 - PurposeThe purpose of this paper is to explore how the patient comes to be seen as a solution to governance problems.Design/methodology/approachThe paper studies health policy discourse in Denmark from 1970 to 2000. Based on an analysis of national policy documents, the paper traces how the patient is redefined as part of governance problems.FindingsThe paper suggests that "the new patient" coincides with changes in healthcare governance and is not just a clinical concern. The persona of the patient has been mobilized in dissimilar ways in addressing specific policy problems, resulting in both a duty-based idea of a socio-economically responsible patient and a rights-based idea of a demanding health-service consumer.Research limitations/implicationsThe study is limited to policy documents that address healthcare governance in one country. It does not describe the broader evolution of patient ideas or the practical impact of political discourses.Practical implicationsPractitioners should expect to encounter conflicting views of patient responsibilities, interests and involvement. Such conflicts are not only related to a lack of conceptual clarity but are indicative of how the new, active and responsible patient has become a key clinical concern and a central element of health policy governance.Originality/valueThe paper contributes to the understanding of "the new patient" in discussions on patient-centred healthcare and empowerment by emphasizing the definition of the patient in a political context. The latter has often been ignored in existing research.
AB - PurposeThe purpose of this paper is to explore how the patient comes to be seen as a solution to governance problems.Design/methodology/approachThe paper studies health policy discourse in Denmark from 1970 to 2000. Based on an analysis of national policy documents, the paper traces how the patient is redefined as part of governance problems.FindingsThe paper suggests that "the new patient" coincides with changes in healthcare governance and is not just a clinical concern. The persona of the patient has been mobilized in dissimilar ways in addressing specific policy problems, resulting in both a duty-based idea of a socio-economically responsible patient and a rights-based idea of a demanding health-service consumer.Research limitations/implicationsThe study is limited to policy documents that address healthcare governance in one country. It does not describe the broader evolution of patient ideas or the practical impact of political discourses.Practical implicationsPractitioners should expect to encounter conflicting views of patient responsibilities, interests and involvement. Such conflicts are not only related to a lack of conceptual clarity but are indicative of how the new, active and responsible patient has become a key clinical concern and a central element of health policy governance.Originality/valueThe paper contributes to the understanding of "the new patient" in discussions on patient-centred healthcare and empowerment by emphasizing the definition of the patient in a political context. The latter has often been ignored in existing research.
KW - Health care policy
KW - Health services
KW - Studies
KW - Patients
KW - Debates
KW - Researchers
KW - Empowerment
M3 - Journal article
VL - 30
SP - 85
EP - 98
JO - International Journal of Public Sector Management
JF - International Journal of Public Sector Management
SN - 0951-3558
IS - 1
ER -