"Money talks" En kritisk diskursanalys av samtal om förbättringar i hälso- och sjukvård

dc.creator	Ann-Charlott Norman
dc.creator	Lena Fritzén
dc.date	2012-01-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:09:51Z
dc.date.available	2015-07-20T22:09:51Z
dc.identifier	1102-6472
dc.identifier	https://doaj.org/article/e8476e2110334789a6274b2fe97b0f8b
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/13152
dc.description	Based on learning as taken for granted in health care quality improvement, the aim was to identify discursive patterns in practice, and to discuss how these patterns create conditions for learning. Observations of quality improvement conversations were made at a clinic and analyzed through critical discourse analysis. Four different discursive patterns were found; a market pattern, a care-for-all pattern, a medical pattern and a value pattern.The order of discourse shows that the market pattern dominates the others while money is linked to quality control. The findings also showed a balance between discourse patterns when economical incentives were absent. In other words, the professionals can handle all complex, and sometimes contradicting, quality aspects when they don’t compete about money. We discuss that market principles impact on learning in terms of displacement effects which discourages long-term sustainable improvements.
dc.language	Swedish
dc.language	Danish
dc.language	Norwegian
dc.language	English
dc.publisher	Örebro University
dc.relation	http://www.oru.se/Extern/Forskning/Forskningsmiljoer/HumUS/Utbildning_och_Demokrati/Tidskriften/2012/Nr%202/%e2%80%9dMoney%20talks%e2%80%9d%20%e2%80%93%20En%20kritisk%20diskursanalys%20av%20samtal%20om%20f%c3%b6rb%c3%a4ttringar%20i%20h%c3%a4lso-%20och%20sjukv%c3%a5rd.pdf
dc.relation	https://doaj.org/toc/1102-6472
dc.source	Utbildning & Demokrati : Tidsskrift för Didaktik och Utbildningspolitik, Vol 21, Iss 2, Pp 103-124 (2012)
dc.subject	critical discourse analysis
dc.subject	marketization in healthcare
dc.subject	quality improvement
dc.subject	knowledge management
dc.subject	social learning.
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.title	"Money talks" En kritisk diskursanalys av samtal om förbättringar i hälso- och sjukvård
dc.type	article