Designing for Legitimacy Policy Work and the Art of Juggling When Setting Limits in Health Care
نویسنده
چکیده
...................................................................................................................... 9 ACKNOWLEDGEMENTS ........................................................................................... 11 PART I: INTRODUCTION AND POINTS OF DEPARTURE ............... 15 1. SETTING THE SCENE.............................................................................................. 17 What this thesis really is about ................................................................................. 17 The delicate matter of limit-setting as a “messy business” .......................... 20 The quest for legitimacy .................................................................................... 22 The empirical core .............................................................................................. 24 The aim of the thesis .................................................................................................. 26 Outline of the thesis ................................................................................................... 27 2. THEORETICAL AND ANALYTICAL FRAMEWORK ........................................ 29 Democratic legitimacy ............................................................................................... 29 Three ways to generate legitimacy .................................................................. 33 Creating legitimacy on the output side of the political system .................... 39 Internal legitimacy ............................................................................................. 44 Policy as process ......................................................................................................... 49 Different perspectives of policy ....................................................................... 49 Policy as process and activity ........................................................................... 56 Policy work ......................................................................................................... 58 The role of mediating institutions when handling pressures ...................... 71 A theoretical orientation for analysis ....................................................................... 74 3. METHODS AND REFLECTIONS OF METHODOLOGY ................................... 77 Epistemological and ontological position ............................................................... 77 Design for the empirical study ................................................................................. 78 How the interviews were conducted .............................................................. 81 Analysis ............................................................................................................... 84 The presentation of the material ...................................................................... 87 PART II: POLICY WORK ON LIMIT-SETTING ..................................... 89 4. THE PROVISION OF AT IN SWEDEN – A BRIEF OVERVIEW ....................... 91 The basic features of limit-setting in the Swedish healthcare system.................. 91 The provision of AT in Sweden ................................................................................ 93 The current situation in the field of ATs ................................................................. 94
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