Thoresen L, Røberg ASB. The construction of the responsible patient in complex palliative care: interpreting palliative care policies.
Palliat Care Soc Pract 2022;
16:26323524221118586. [PMID:
36059854 PMCID:
PMC9434665 DOI:
10.1177/26323524221118586]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 07/22/2022] [Indexed: 11/17/2022] Open
Abstract
Background:
To contribute with knowledge to health policy development, this article
presents a critical discourse analysis of two Norwegian official reports on
palliative care published in 1999 and 2017.
Methods:
We identify, describe and discuss how linguistic features in policy documents
contribute to and engender a distinct change from 1999 to 2017 in how
patients are framed, documenting the development of palliative care.
Results:
The analysis identifies and considers two interwoven discourses: the
discourse of accountability and the discourse of complexity. The patient
moves from being described as in need of care, in the 1999 report, to being
described as an active and responsible patient making proper choices, in the
2017 report.
Conclusion:
Result of this policy development might be less involvement of professionals
and focus on existential questions, and more responsibility on patients for
their prospective wellbeing and health: a change that we argue should be
considered and counteracted in upcoming policy processes considering
palliative care.
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