Er vi sammen om sundhed? - En policyanalyse af "Fælles om bedre sundhed - sundhedsaftale 2015-2018"

Ulla Birk Johansen

Studenteropgave: Masterafhandling

Abstrakt

This masterproject is a discourse analysis of the policypaper “Fælles om bedre Sundhed - Sundhedsaftale 2015-2018” (in english: ”Together on better health – Health agreement 2015-2018”) from Region Sjælland. The title of this projekt “Are we together in health?” is to be read as a rhetorical counter-question to the title of the policy paper. It implies a critical examination of whether or not health is considered as a matter of the community - or the responsibility of the individual. The project is mainly focused on how the discourses of the policy paper represents and constructs concepts of health, healthpromotion and of the people, who uses the health care system. And, as a result of these constructions, what discursive affects the constructions might have, as a perspective on the rising occurrences of inequety in health. The health plan is examined with a socialconstructivistic perspective, and through Michel Foucault’s concepts on governmentality and discourse, using Carol Bacchi’s WPR-method as the analytical tool. In the analysis I describe how individuals in the health care system are constructed as ressourceful and responsible citizens, the governing tools and structures that are made available to these citizens, and what concept of health is found in the policy paper. That implies also a critical view on the construction of individuals not living up to the expectations, meaning that they don’t have a appropriate behaviour regarding their health. As a whole, the conclusion states that the discourse of the polic ypaper individualises the responsibility of health and disease, and does not, as a community, take the structural responsibility for health inequity. Furthermore, the concept of involvement of the citizens, implies constructions of the appropriate citizen, and leaves inappropriate citizen left behind. These elements, together with the health concepts of the policypaper, can add to the growth of social inequity regarding health, because they leave behind some blind spots - unproblematised problems. This is because the available tools of control do not solve the fundamental problems of health, leaving the “inappropriate patients” to self-governing that they can’t take advantage of, and thereby are not directed towards solving the problem of health inequity.

UddannelserMaster i Sundhedsfremme (MSF), (Masteruddannelse) Master
SprogDansk
Udgivelsesdato18 maj 2018
Antal sider52
VejledereAgnete Meldgaard Hansen

Emneord

  • sundhed
  • sundhedsfremme
  • lighed i sundhed
  • sundhedsaftale
  • ulighed i sundhed
  • sundhedspolitik
  • Region Sjælland