Rehabilitation in momentum of Norwegian coordination reform

From practices of discipline to disciplinary practices

Anne-Stine Røberg, Helle Ploug Hansen, Marte Feiring, Grace Romsland

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

The way rehabilitation is given meaning and practiced relies on contesting assumptions, affecting the conception of who will benefit from rehabilitation and the way professionals define their relationship with patients. This article applies a critical discourse analysis of interviews with rehabilitation professionals, investigating the way they talk about rehabilitation, and the ways their language use produces utterances, concepts, and affects their practices. The context of the analysis is time of change imposed by Norwegian health reform policies targeted towards efficiency and decreased public health cost. A meta-discourse of goals is identified, in which four further discourses are singled out; rehabilitation as catalyst for a meaningful living; rehabilitation as professional performance; rehabilitation as constraint factor, and rehabilitation as a normative stimulus for independence. The article concludes that rehabilitation professionals include policy-informed rationing in clinical reasoning processes. The consequence is that institutional rehabilitation practices depart from patient-centered, socially invented schemes of care. Rehabilitation professionals act as powerful agents on behalf of the authorities, approaching the disabled and chronically ill in ways to make them independent and self-managing with less involvement of specialized rehabilitation services.
OriginalsprogEngelsk
TidsskriftAlter
Vol/bind11
Udgave nummer3
Sider (fra-til)193-207
ISSN1875-0672
DOI
StatusUdgivet - 2017

Fingeraftryk

rehabilitation
reform
Institutional Practice
chronically ill
health reform
rationing
discourse
reform policy
Health Policy
discourse analysis
stimulus
Language
Public Health
public health
Interviews
efficiency

Citer dette

Røberg, Anne-Stine ; Hansen, Helle Ploug ; Feiring, Marte ; Romsland, Grace. / Rehabilitation in momentum of Norwegian coordination reform : From practices of discipline to disciplinary practices. I: Alter. 2017 ; Bind 11, Nr. 3. s. 193-207.
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Rehabilitation in momentum of Norwegian coordination reform : From practices of discipline to disciplinary practices. / Røberg, Anne-Stine; Hansen, Helle Ploug; Feiring, Marte; Romsland, Grace.

I: Alter, Bind 11, Nr. 3, 2017, s. 193-207.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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AU - Feiring, Marte

AU - Romsland, Grace

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AB - The way rehabilitation is given meaning and practiced relies on contesting assumptions, affecting the conception of who will benefit from rehabilitation and the way professionals define their relationship with patients. This article applies a critical discourse analysis of interviews with rehabilitation professionals, investigating the way they talk about rehabilitation, and the ways their language use produces utterances, concepts, and affects their practices. The context of the analysis is time of change imposed by Norwegian health reform policies targeted towards efficiency and decreased public health cost. A meta-discourse of goals is identified, in which four further discourses are singled out; rehabilitation as catalyst for a meaningful living; rehabilitation as professional performance; rehabilitation as constraint factor, and rehabilitation as a normative stimulus for independence. The article concludes that rehabilitation professionals include policy-informed rationing in clinical reasoning processes. The consequence is that institutional rehabilitation practices depart from patient-centered, socially invented schemes of care. Rehabilitation professionals act as powerful agents on behalf of the authorities, approaching the disabled and chronically ill in ways to make them independent and self-managing with less involvement of specialized rehabilitation services.

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