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The latent function of 'responsibility for one's health' in Swedish healthcare priority-setting

Bibliographic Data

ID3610293
AuthorsWerner Schirmer (0000-0002-3262-5932, Uppsala University), Dimitris Michailakis (0000-0002-1201-1175, Linköping University)
Year2012
Volume21
Issue1
Pages36-46
Publication date2012-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Sociology Review (JOURNAL)
Journal identifiersISSN: 1446-1242 • E-ISSN: 1839-3551
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.5172/hesr.2012.21.1.36
OpenAlexW4232272779
LanguageEN
Citations received7
References cited21

Applying Luhmanns theoretical framework, this article analyses the function of the notion responsibility for ones health in prioritisation in Swedish healthcare. A document called Ethical Platform was adopted in 1997 in order to guide decisions about prioritisation. Evaluations deemed it a failure. Against its official purpose, we argue that this document is not a failure as it has the latent function of protecting the credibility of the self-description of the Swedish political system as a highly inclusive and caring welfare-state. Since prioritisation implies exclusion it poses a threat for this self-description. less thanbrgreater than less thanbrgreater thanThe responsibility principle, suggested in 2007 as an improvement for the platform, has the latent function of helping overcoming the contradiction between the self-description of the welfare-state (inclusion) and prioritisation (exclusion). While inclusion into healthcare is still offered for everybody (respect), this right becomes conditional when citizens are regarded as agents who account for their unhealthy lifestyle (responsibility)

Contradiction · Credibility · Epistemology · Function (biology · Health care · Inclusion (mineral · Inclusion–exclusion principle · Law and economics · Political science · Politics · Project commissioning · Public relations · Publishing · Social science · Sociology · Welfare · Ethics in medical practice · Foucault, Power, and Ethics · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Law · Medicine · Nursing · Weber, Simmel, Sociological Theory

  • Social work and social problems

    Open Access•Dimitris Michailakis, Werner Schirmer•International Journal of Social…•2014

  • The responsibility principle. Contradictions of priority-setting in Swedish healthcare

    Open Access•Werner Schirmer, Dimitris Michailakis•Acta Sociologica•2011

  • The privilege to heal? Mapping patients’ unequal mobilisation of health capital in a Nordic welfare context

    Open Access•K Larsen, Ina Koch Røpke et al.•Social Science & Medicine•2026

  • Self-Rated Health and Attitudes About U.S. Health Care Policy

    Ryan Jerome Lecount, Kathleen Abrahamson•Sociological Spectrum•2017

  • Funktionale Methode und Systemtheorie

    N Luhmann•Soziologische Aufklärung•1970

  • You are Dangerous to Your Health

    Open Access•Richard Crawford, Robert Crawford•International Journal of Health…•1977

  • Personal Responsibility for Health? A Review of the Arguments and the Evidence at Century’s End

    Open Access•Meredith Minkler•Health Education & Behavior•1999

  • Funktion und Kausalität

    N Luhmann•Soziologische Aufklärung•1970

  • Modernization, Cultural Change, and Democracy

    Open Access•Ronald Inglehart, Christian Welzel•Modernization, Cultural Change,…•2001

  • Grundlagen der soziologischen Theorie

    Open Access•Wolfgang Ludwig Schneider•Grundlagen der soziologischen…•2002

  • Personal and Social Responsibility for Health

    Open Access•Daniel Wikler•Ethics & International Affairs•2002

  • Political Theory in the Welfare State

    Open Access•Jennie Hornosty, N Luhmann et al.•The Canadian Journal of Sociology•1991

  • Selbstbeschreibung und Fremdbeschreibung

    André Kieserling, Patrick Mccarthy•International Journal of Clinical…•2004

  • Soziologische Aufklärung / 2 Aufsätze zur Theorie der Gesellschaft

    Open Access•N Luhmann•Soziologische Aufklärung 2•1982

  • Globalization or World society

    N Luhmann•International Review of Sociology•1997

  • Function and Cause

    Ronald Dore, Ronald Philip Dore•American Sociological Review•1961

  • The political economy of responsibility in health and illness

    Open Access•John M Donahue, Meredith B Mcguire•Social Science & Medicine•1995

  • The Political Economy of Federalism

    Open Access•John E Chubb•American Political Science Review•1985

  • Respect and agency

    Open Access•Werner Schirmer, Linda Weidenstedt et al.•Current Sociology•2013

  • The responsibility principle. Contradictions of priority-setting in Swedish healthcare

    Open Access•Werner Schirmer, Dimitris Michailakis•Acta Sociologica•2011

  • Agents of their health? How the Swedish welfare state introduces expectations of individual responsibility

    Open Access•Dimitris Michailakis, Werner Schirmer•Sociology of Health & Illness•2010

  • The 'Actors' of Modern Society

    Open Access•J W Meyer, Ronald L Jepperson•Sociological Theory•2000

Unique citing works4
Citations per year0,47
Citation span2011 - 2026 (16)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 6
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