Från patient till kund : Intåget av marknadstänkande i sjukvården och förskjutningen av patientens position
From patient to customer : The arrival of market thinking in health care and the displacement of the patient´s position
Author
Summary, in English
The notion of perceiving the sick person as a customer was preceded by a discursive formation, which according to Foucault is defined as a process for spreading and formation of statements into disourse. In this process several influential voices are talking about objects referring to certain concepts and themes. While referring to and using a market theme like freedom of choice, operationalised in the Swedish context by health care guarantee and voucher for care, the influential voices gradually legitimise the market discourse. By applying Foucault’s theory of how discursive formations appear, it is possible to understand how concepts like freedom of choice and voucher for care circulate in various texts, reappear with new words like customer choice, are reorganized in statements and used in new contexts.
Through formation of new discourses in health care the attitude towards how operational and economic issues are managed in health care is changing.
The conclusion drawn is that the market discourse, based on the discourse on personal rights for patients, despite resistance, constitutes a customer position, which is evident in an increasing degree of participation, freedom of choice, care guarantee and patient rights in health care. The constitution of the customer position does not entail, however, that the patient concept is being replaced but rather completed by the customer concept.
Department/s
Publishing year
2003
Language
Swedish
Document type
Dissertation
Publisher
Lund Business Press
Topic
- Business Administration
Keywords
- subject position
- patient rights
- patient position
- marketization
- freedom of choice
- displacement
- discursive formation
- discourse
- Customer position
- conditions of possibility
- transformation
- Social economics
- Social ekonomi
Status
Published
Supervisor
ISBN/ISSN/Other
- ISBN: 91-971179-8-6
Defence date
18 September 2003
Defence time
10:15
Defence place
H. Crafoords Ekonomicentrum, Lund
Opponent
- Leif Borgert