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Lindberg, J. & Lundgren, A. S. (2019). Positioning the ageing subject: articulations of choice in Swedish and UK health and social care. Policy Studies, 1-19
Open this publication in new window or tab >>Positioning the ageing subject: articulations of choice in Swedish and UK health and social care
2019 (English)In: Policy Studies, ISSN 0144-2872, E-ISSN 1470-1006, p. 1-19Article in journal (Refereed) Epub ahead of print
Abstract [en]

What happens when similar measures are being introduced in different national contexts? This article studies the ways in which patient choice has been articulated in public and official reports on health care in the two contexts of Sweden and the UK, whose welfare systems are typically comprehended as different. Specific interest is directed towards the construction of patient positions, and policy documents are analyzed using discourse theory. The results show many similarities between the national contexts; choice is primarily articulated with individuality, autonomy, consumption, and responsibility, as well as with support from state agencies, and patient choice is relentlessly normalized as the way forward. But there are also important differences that reveal that the presuppositions differ, for example, when pinpointing the stakeholders of patient choice reforms and how the different policies work to take the well-known edges off of patient choice ideology.

Place, publisher, year, edition, pages
Routledge, 2019
Keywords
Ageing, choice policy, welfare regimes, discourse, healthcare policy
National Category
Ethnology
Identifiers
urn:nbn:se:umu:diva-158161 (URN)10.1080/01442872.2019.1599839 (DOI)000466230000001 ()
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, Dnr 2013-2056
Available from: 2019-04-15 Created: 2019-04-15 Last updated: 2019-05-20
Lindberg, J. & Carlsson, E. (2018). Digitala vårdlandskap: kritiska reflektioner om e-hälsa i glesbygden. Socialmedicinsk Tidskrift, 95(1), 62-69
Open this publication in new window or tab >>Digitala vårdlandskap: kritiska reflektioner om e-hälsa i glesbygden
2018 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 95, no 1, p. 62-69Article in journal (Refereed) Published
Abstract [sv]

E-hälsa sägs av många kunna förbättra sjukvården. I den här artikeln undersöker vi föreställningar och idéer om e-hälsa för äldre i glesbygden med sär-skilt fokus på virtuella hälsorum. Vi lyfter fram förhoppningar om digital vård och analyserar på en diskursiv nivå. Artikeln belyser ideologiska föreställningar om sjukvård och problematiserar införandet av digital vårdteknologi. Som material har vi använt olika former av policymaterial. I analysen visar vi hur virtuella hälsorum kopplas ihop med diskurser om delaktighet i vård, aktivt åldrande och glesbygden som problem, och framhåller att det kan ge följder för äldres vård och hälsa. Slutligen påtalar vi behovet att närma sig e-hälsa för äldre i glesbygd från ett problematiserande perspektiv och reflektera kring digitaliseringens följder, nu och i framtiden.

Place, publisher, year, edition, pages
Stockholm: Socialmedicinsk tidskrift, 2018
National Category
Cultural Studies Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-145399 (URN)
Available from: 2018-03-01 Created: 2018-03-01 Last updated: 2018-06-09Bibliographically approved
Lindberg, J. (2017). Ägande av ansvar: Ekonomisk och administrativ praktik i svensk våldtäktsvård. Kulturella perspektiv - Svensk etnologisk tidskrift, 26(3–4), 63-69
Open this publication in new window or tab >>Ägande av ansvar: Ekonomisk och administrativ praktik i svensk våldtäktsvård
2017 (Swedish)In: Kulturella perspektiv - Svensk etnologisk tidskrift, ISSN 1102-7908, ISSN ISSN 1102-7908, Vol. 26, no 3–4, p. 63-69Article in journal (Refereed) Published
Abstract [en]

Throughout the last 30–40 years, New Public Management (NPM) has come to dominate public administration. The aim of this article is to explore NPM-inspired practices in rape care and analyse how care milieus’ specific responsibilities for economy and results – to own responsibility – effects care and care personnel. That way I want to argue that economy and administration needs to be further acknowledged in ethnological research. In the article interviews with health care professionals are used as empirical material. Focusing on two departments and their owning of responsibility, it highlights how economy and administration is highly valued in rape and health care and, as a consequence, the impact of professionals’ knowledge, experience and ambition is reduced. In practice, this creates intricate situations for health care personnel to handle, but also affect care quality in various ways. Conclusively, I discuss how an increased sensitivity regarding economy and administration can serve to broaden the scope on health care and other organisations, both within ethnology and research on male rape.

Place, publisher, year, edition, pages
Umeå: , 2017
Keywords
NPM, health care, administration, rape, male rape, NPM, sjukvård, administration, våldtäkt, våldtäkt på män
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Social Medicine; Ethnology
Identifiers
urn:nbn:se:umu:diva-146036 (URN)
Available from: 2018-03-27 Created: 2018-03-27 Last updated: 2018-06-09Bibliographically approved
Lindberg, J. (2015). Orsak: Våldtäkt: om våldtagna män i medicinsk praktik. (Doctoral dissertation). Stockholm: Carlsson Bokförlag
Open this publication in new window or tab >>Orsak: Våldtäkt: om våldtagna män i medicinsk praktik
2015 (Swedish)Doctoral thesis, monograph (Other academic)
Alternative title[en]
Rape care : raped men in medical practice
Abstract [en]

Within the Swedish healthcare system, the care of raped men varies and many hospitals lack specific programmes. The aim of the thesis is to describe and analyse how meanings about rape and raped men are produced within Swedish healthcare. The central question is how different patient positions and conceptions about the phenomenon of male rape are created through care practices and how, in turn, that affects the care of raped men.

The empirical material consists of interviews with healthcare professionals who have worked with raped men, field notes from participant observations and materials such as legislation, care protocols and medical records. In order to analyse how rape and raped men are articulated in practice and to highlight the norms that govern health- and rape care, the material has been analysed from a poststructuralist ‘logics’ perspective.

The analysis departs from a number of healthcare settings – two emergency departments, one gynaecological department, one rape clinic, one health crisis recovery unit and a regional healthcare project developing new procedures for the care of raped women, children and men – and their work with predominantly male rape.

One of the central aspects of the thesis is that it demonstrates that the care of raped men in many places lack clear procedures and that, consequently, health professionals either draw on ill-suited general care practices or make up new ones as they go. Norms about gender, sexuality, masculinity, rape and patienthood, but also organizational aspects and aspects of professional identity, greatly influence how raped men are treated.

In the thesis it is also suggested that rape care is governed by a ’logic of need’. The logic of need is a logic that care professionals and settings need to follow to produce good healthcare, and which emphasizes and recreates differences between how the rape of women and the rape of men are understood. At the same time there are care practices that seek to create equivalences between the rape of men and the rape of women. These alternative articulations of rape care are both in line with, and in some ways challenging, dominant rape care. In doing so they have an impact on what is considered good care for raped men.

Above all, the logic of need enables the articulation of established notions of raped men and healthcare’s long-standing preoccupation with good corporeal healthcare. The logic constructs male rape as a specific phenomenon and organises healthcare in such ways that create sometimes unequal health conditions for male victims. The logic limits raped men’s access to certain care practices and in many cases fails to offer raped men an established patient position. This in turn seems to limit the emergence of specially adapted care for that group of patients.

Place, publisher, year, edition, pages
Stockholm: Carlsson Bokförlag, 2015. p. 246
Series
Etnologiska skrifter, ISSN 1103-6516 ; 61
Keywords
Rape, male rape, sexual victimization, sexual violence, victimhood, patient, treatment, healthcare, medicine, medical practice, care practices, logics, poststructuralism, discourse theory, ethnography, gender, masculinity, body, gender equality, heteronormativity, Våldtäkt, våldtäkt på män, sexuellt våld, offerskap, patient, bemötande, sjukvård, medicin, medicinsk praktik, vårdpraktiker, logikperspektivet, poststrukturalism, diskursteori, etnografi, etnologi, genus, könsroller, maskulinitet, kropp, jämställdhet, heteronormativitet.
National Category
Ethnology
Research subject
Ethnology
Identifiers
urn:nbn:se:umu:diva-111876 (URN)978-91-7331-729-0 (ISBN)
Public defence
2015-12-18, Hörsal F, Humanisthuset, Biblioteksgränd 3, Umeå, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2015-11-27 Created: 2015-11-25 Last updated: 2018-06-07Bibliographically approved
Lindberg, J. (2012). "Lita på snöbollsmetoden": värdet av att släppa kontrollen. In: Bo Nilsson & Anna Sofia Lundgren (Ed.), Mitt i metoden: kulturvetenskapliga reflektioner (pp. 49-57). Umeå: Institutionen för kultur- och medievetenskaper, Umeå universitet
Open this publication in new window or tab >>"Lita på snöbollsmetoden": värdet av att släppa kontrollen
2012 (Swedish)In: Mitt i metoden: kulturvetenskapliga reflektioner / [ed] Bo Nilsson & Anna Sofia Lundgren, Umeå: Institutionen för kultur- och medievetenskaper, Umeå universitet , 2012, p. 49-57Chapter in book (Other academic)
Place, publisher, year, edition, pages
Umeå: Institutionen för kultur- och medievetenskaper, Umeå universitet, 2012
National Category
Other Humanities not elsewhere specified
Identifiers
urn:nbn:se:umu:diva-71213 (URN)978-91-7459-509-3 (ISBN)
Available from: 2013-05-23 Created: 2013-05-23 Last updated: 2018-06-08Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0427-7248

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