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BETA
Nedlund, Ann-CharlotteORCID iD iconorcid.org/0000-0003-0204-4536
Alternative names
Publications (10 of 42) Show all publications
Eckard, N., Nedlund, A.-C., Janzon, M. & Levin, L.-Å. (2017). Reaching agreement in uncertain circumstances: the practice of evidence-based policy in the case of the Swedish National Guidelines for heart diseases. Evidence and Policy: A Journal of Research, Debate and Practice (4), 687-707
Open this publication in new window or tab >>Reaching agreement in uncertain circumstances: the practice of evidence-based policy in the case of the Swedish National Guidelines for heart diseases
2017 (English)In: Evidence and Policy: A Journal of Research, Debate and Practice, ISSN 1744-2648, no 4, p. 687-707Article in journal (Refereed) Published
Abstract [en]

This paper explores the practice of evidence-based policy in a Swedish healthcare context. The study focused on how policymakers in the specific working group, the Priority-Setting Group (PSG), handled the various forms of evidence and values and their competing rationalities, when producing the Swedish National Guidelines for heart diseases that are based on both clinical and economic evidence and are established to support explicit priority-setting in healthcare. The study contributes to the theoretical and practical debate on evidence-based policy (EBP) by illustrating how the practical tensions of coming to agreement were managed, to a large extent, through deliberation and by creativity.

Place, publisher, year, edition, pages
Informa Healthcare, 2017
Keywords
cost-effectiveness; evidence-based policy; healthcare; national guidelines; priority setting; sense-making
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Other Health Sciences
Identifiers
urn:nbn:se:liu:diva-121280 (URN)10.1332/174426416X14788795557982 (DOI)000417405400007 ()
Available from: 2015-09-11 Created: 2015-09-11 Last updated: 2017-12-29Bibliographically approved
Taghizadeh larsson, A. & Nedlund, A.-C. (2016). Being a Full Citizen with Cognitive Impairment: How Supported Decision-Making Is Managed For People with Dementia in Sweden. In: : . Paper presented at Conference: the 2015 International Conference on Claiming Full Citizenship: Self Determination, Personalization and Individualized Funding, At Vancouver, Canada.
Open this publication in new window or tab >>Being a Full Citizen with Cognitive Impairment: How Supported Decision-Making Is Managed For People with Dementia in Sweden
2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-129764 (URN)
Conference
Conference: the 2015 International Conference on Claiming Full Citizenship: Self Determination, Personalization and Individualized Funding, At Vancouver, Canada
Funder
Riksbankens Jubileumsfond, 4853510000
Available from: 2016-06-27 Created: 2016-06-27 Last updated: 2018-01-10
Nedlund, A.-C. & O'Connor, D. (2016). Editorial introduction: Special issue on Citizenship and Dementia.. Dementia, 15(3), 285-288
Open this publication in new window or tab >>Editorial introduction: Special issue on Citizenship and Dementia.
2016 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 15, no 3, p. 285-288Article in journal, Editorial material (Other academic) Published
Keywords
Dementia Citizenship
National Category
Social Sciences Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-130755 (URN)10.1177/1471301216647150 (DOI)
Available from: 2016-08-22 Created: 2016-08-22 Last updated: 2018-01-10
Nedlund, A.-C., Jansson, M. & Nordh, J. (2016). Medborgare med demenssjukdom. In: Ingrid Hellström, Lars-Christer Hydén (Ed.), Att leva med demens: (pp. 171-181). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Medborgare med demenssjukdom
2016 (Swedish)In: Att leva med demens / [ed] Ingrid Hellström, Lars-Christer Hydén, Malmö: Gleerups Utbildning AB, 2016, p. 171-181Chapter in book (Other academic)
Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2016
Keywords
Demenssjuka, Demens
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-124427 (URN)9789140691651 (ISBN)
Projects
Dementia: agency, personhood and everyday life
Available from: 2016-01-31 Created: 2016-01-31 Last updated: 2018-01-10Bibliographically approved
Nedlund, A.-C. (2016). Medborgarskapandet som process. In: Ingrid Hellström, Lars-Christer Hydén (Ed.), Att leva med demens: (pp. 167-169). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Medborgarskapandet som process
2016 (Swedish)In: Att leva med demens / [ed] Ingrid Hellström, Lars-Christer Hydén, Malmö: Gleerups Utbildning AB, 2016, p. 167-169Chapter in book (Other academic)
Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2016
Keywords
Demenssjuka, Demens
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-124425 (URN)9789140691651 (ISBN)
Projects
Dementia: agency, personhood and everyday life
Available from: 2016-01-31 Created: 2016-01-31 Last updated: 2018-01-10Bibliographically approved
Garpenby, P. & Nedlund, A.-C. (2016). Political strategies in difficult times - The "backstage" experience of Swedish politicians on formal priority setting in healthcare. Social Science and Medicine, 163, 63-70
Open this publication in new window or tab >>Political strategies in difficult times - The "backstage" experience of Swedish politicians on formal priority setting in healthcare
2016 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 163, p. 63-70Article in journal (Refereed) Published
Abstract [en]

This paper contributes to the knowledge on the governing of healthcare in a democratic context in times of austerity. Resource allocation in healthcare is a highly political issue but the political nature of healthcare is not always made clear and the role of politicians is often obscure. The absence of politicians in rationing/disinvestment arrangements is usually explained with blame-shifting arguments; they prefer to delegate "the burden of responsibility" to administrative agencies or professionals. Drawing on a case where Swedish regional politicians involved themselves in setting priorities at a more detailed level than previously, the findings suggest that the subject of "blame avoidance" is more complicated than usually assumed. A qualitative case study was designed, involving semi-structured interviews with 14 regionally elected politicians in one Swedish health authority, conducted in June 2011. The interviews were analysed through a thematic analysis in accordance with the "framework approach" by Ritchie and Lewis. Findings show that an overarching strategy among the politicians was to appear united and to suppress conflict, which served to underpin the vital strategy of bringing the medical profession into the process. A key finding is the importance that politicians, when appearing "backstage", attach to the prevention of blame from the medical profession. This case illustrates that one has to take into account that priority settings requires various types of skills and knowledges - not only technical but also political and social. Another important lesson points toward the need to broaden the political leadership repertoire, as leadership in the case of priority setting is not about politicians being all in or all out. The results suggest that in a priority-setting process it is of importance to have politics on-board at an early stage to secure loyalty to the process, although not necessarily being involved in all details.

Place, publisher, year, edition, pages
Saunders Elsevier, 2016
Keywords
Blame avoidance; Healthcare; Interview; Leadership; Legitimacy; Political strategies; Priority setting; Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-130800 (URN)10.1016/j.socscimed.2016.06.046 (DOI)000381958300008 ()27404909 (PubMedID)
Note

Funding agencies: Swedish National Centre for Priority Setting in Health Care

Available from: 2016-08-24 Created: 2016-08-24 Last updated: 2017-11-28
Nedlund, A.-C. & Taghizadeh Larsson, A. (2016). Ställföreträdarskap och självbestämmande. In: Ingrid Hellström, Lars-Christer Hydén (Ed.), Att leva med demens: (pp. 183-192). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Ställföreträdarskap och självbestämmande
2016 (Swedish)In: Att leva med demens / [ed] Ingrid Hellström, Lars-Christer Hydén, Malmö: Gleerups Utbildning AB, 2016, p. 183-192Chapter in book (Other academic)
Abstract [sv]

I detta kapitel kopplas den internationella diskussionen kring medborgarskap och demenssjukdom och hur denna kan hjälpa till att förstå den svenska situationen för personer demenssjukdom till frågan kring ställföreträdarskap vad gäller beslutsfattande och personer med demenssjukdom.

Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2016
Keywords
demens, demenssjuka
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-123994 (URN)9789140691651 (ISBN)
Projects
Dementia: agency, personhood and everyday life
Funder
Riksbankens Jubileumsfond
Available from: 2016-01-17 Created: 2016-01-17 Last updated: 2018-01-10Bibliographically approved
Nedlund, A.-C. & Taghizadeh Larsson, A. (2016). To protect and to support: How citizenship and self-determination are legally constructed and managed in practice for people living with dementia in Sweden. Dementia, 15(3), 343-357
Open this publication in new window or tab >>To protect and to support: How citizenship and self-determination are legally constructed and managed in practice for people living with dementia in Sweden
2016 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 15, no 3, p. 343-357Article in journal (Refereed) Published
Abstract [en]

Since living with dementia implies increasing difficulties in taking charge of rights due to cognitive as well as communicative impairments, many people with dementia are vulnerable and in need of support in order to realize full citizenship. In Sweden, all adults right to self-determination is strongly emphasized in law, regulations, and policies. Further, and in contrast to the situation in many other countries, people living with dementia cannot be declared as incompetent of making decisions concerning social care and their right to self-determination cannot legally be taken away. The article shows that in the Swedish welfare system, the focus is more on protecting the self-determination of citizens than on supporting people in making decisions and exercising citizenship. Subsequently, this causes legally constructed zones of inclusion and exclusion. This article examines and problematizes how different institutional contexts, legal constructions, norms, and practices in Sweden affect the management of issues concerning guardianship, supported decision-making and self-determination, and outline the implications for people living with dementia.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD, 2016
Keywords
Citizenship; self-determination; decision-making capacity; legal representative; Sweden
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-129170 (URN)10.1177/1471301216638966 (DOI)000376264100006 ()27170586 (PubMedID)
Note

Funding Agencies|FORTE: Swedish Research Council for Health, Working Life and Welfare as part of the project Democracy, Autonomy and Justice Citizenship Practice for People with Dementia [2014-0921]; bank of Sweden Tercentenary Foundation as part of the programme Dementia: Agency, Personhood and Everyday Life Grant [M10-0187:1]

Available from: 2016-06-13 Created: 2016-06-13 Last updated: 2018-01-10
Nedlund, A.-C. & Taghizadeh Larsson, A. (2015). Being a Full Citizen with Cognitive Impairment  : How Supported Decision-Making Is Managed For People with Dementia in Sweden.. In: : . Paper presented at the 2015 International Conference on Claiming Full Citizenship: Self Determination, Personalization and Individualized Funding. Vancouver, Kanada.
Open this publication in new window or tab >>Being a Full Citizen with Cognitive Impairment  : How Supported Decision-Making Is Managed For People with Dementia in Sweden.
2015 (English)Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
Vancouver, Kanada.: , 2015
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-122243 (URN)
Conference
the 2015 International Conference on Claiming Full Citizenship: Self Determination, Personalization and Individualized Funding
Projects
Demens och medborgarskap, CEDER
Funder
Riksbankens Jubileumsfond
Available from: 2015-10-26 Created: 2015-10-26 Last updated: 2018-01-10
Odzakovic, E., Nedlund, A.-C. & Taghizadeh Larsson, A. (2015). Citizenship and Social Inclusion for People with Dementia: A Register Study in a Swedish Context on the Distribution of Social - Care Services. In: : . Paper presented at Claiming Full Citizenship: Self Determination Personalization Individualized Funding 2015 International Conference, October 15 - October 17, 2015 The Hyatt Regency, Vancouver, BC.
Open this publication in new window or tab >>Citizenship and Social Inclusion for People with Dementia: A Register Study in a Swedish Context on the Distribution of Social - Care Services
2015 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

In Sweden, every citizen has equal right to social-care. The purpose of this session is to investigate how social support is distributed for people with dementia and to compare this distribution in an ethnicity perspective. A statistical analysis will be presented based on data in progress.

National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-124429 (URN)
Conference
Claiming Full Citizenship: Self Determination Personalization Individualized Funding 2015 International Conference, October 15 - October 17, 2015 The Hyatt Regency, Vancouver, BC
Available from: 2016-01-31 Created: 2016-01-31 Last updated: 2018-01-10
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0204-4536

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