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Mostly empty words--what the discourse of "choice" in health care does.

Nordgren, Lars LU (2010) In Journal of Health Organisation & Management 24(2). p.109-126
Abstract
PURPOSE: This paper has two purposes: one is to analyse how the policy of freedom of choice emerged and was formed in the Swedish health care discourse; the second is related to how free choice influences the discourse in health care and how subjects are formed within the field, i.e. what the language of choice in health care does. DESIGN/METHODOLOGY/APPROACH: The research strategy is inspired by a combined theoretical framework borrowed from Michel Foucault's concepts of "discursive formation" and "subjectivization" completed with Judith Butler's concept of performativity. FINDINGS: The language of "freedom of choice" calls to mind the rhetoric of promises, i.e. that the patient should be free and responsible, in his or her relation to... (More)
PURPOSE: This paper has two purposes: one is to analyse how the policy of freedom of choice emerged and was formed in the Swedish health care discourse; the second is related to how free choice influences the discourse in health care and how subjects are formed within the field, i.e. what the language of choice in health care does. DESIGN/METHODOLOGY/APPROACH: The research strategy is inspired by a combined theoretical framework borrowed from Michel Foucault's concepts of "discursive formation" and "subjectivization" completed with Judith Butler's concept of performativity. FINDINGS: The language of "freedom of choice" calls to mind the rhetoric of promises, i.e. that the patient should be free and responsible, in his or her relation to health care. Since patients seem to be insufficiently informed and supported about the actual benefits of possibilities and limitations associated with the severely restricted reform of free choice, the statements concerning opportunities to make personal health decisions will lose their significance. The advocacy of discourses of freedom of choice seems therefore mostly like empty words, as they are producing weak patients instead of free and empowered people. RESEARCH LIMITATIONS/IMPLICATIONS: As the reform was initiated in the beginning of 2000 it is rather fresh. ORIGINALITY/VALUE: The paper produces insights into the rhetoric of political promises and the limitations of the reform dealing with freedom of choice in health care. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Health Organisation & Management
volume
24
issue
2
pages
109 - 126
publisher
Emerald Group Publishing Limited
external identifiers
  • pmid:20698189
  • scopus:77952682400
ISSN
1758-7247
DOI
10.1108/14777261080000433
language
English
LU publication?
yes
id
d76ffd98-207b-4a3d-92d2-4dc7d629f807 (old id 1665400)
date added to LUP
2010-09-09 14:01:17
date last changed
2018-07-15 03:04:14
@article{d76ffd98-207b-4a3d-92d2-4dc7d629f807,
  abstract     = {PURPOSE: This paper has two purposes: one is to analyse how the policy of freedom of choice emerged and was formed in the Swedish health care discourse; the second is related to how free choice influences the discourse in health care and how subjects are formed within the field, i.e. what the language of choice in health care does. DESIGN/METHODOLOGY/APPROACH: The research strategy is inspired by a combined theoretical framework borrowed from Michel Foucault's concepts of "discursive formation" and "subjectivization" completed with Judith Butler's concept of performativity. FINDINGS: The language of "freedom of choice" calls to mind the rhetoric of promises, i.e. that the patient should be free and responsible, in his or her relation to health care. Since patients seem to be insufficiently informed and supported about the actual benefits of possibilities and limitations associated with the severely restricted reform of free choice, the statements concerning opportunities to make personal health decisions will lose their significance. The advocacy of discourses of freedom of choice seems therefore mostly like empty words, as they are producing weak patients instead of free and empowered people. RESEARCH LIMITATIONS/IMPLICATIONS: As the reform was initiated in the beginning of 2000 it is rather fresh. ORIGINALITY/VALUE: The paper produces insights into the rhetoric of political promises and the limitations of the reform dealing with freedom of choice in health care.},
  author       = {Nordgren, Lars},
  issn         = {1758-7247},
  language     = {eng},
  number       = {2},
  pages        = {109--126},
  publisher    = {Emerald Group Publishing Limited},
  series       = {Journal of Health Organisation & Management},
  title        = {Mostly empty words--what the discourse of "choice" in health care does.},
  url          = {http://dx.doi.org/10.1108/14777261080000433},
  volume       = {24},
  year         = {2010},
}