liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Legitimate Policymaking: The Importance of Including Health-care Workers in Limit-Setting Decisions in Health care
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences. (Prioriteringscentrum)ORCID iD: 0000-0003-0204-4536
Department of Global Public Health and Primary Care, University of Bergen, Norway.
2014 (English)In: Public Health Ethics, ISSN 1754-9973, E-ISSN 1754-9981, Vol. 7, no 2, 123-133 p.Article in journal (Refereed) Published
Abstract [en]

The concept of legitimacy is often used and emphasized in the context of setting limits in health care, but rarely described is what is actually meant by its use. Moreover, it is seldom explicitly stated how health-care workers can contribute to the matter, nor what weight should be apportioned to their viewpoints. Instead the discussion has focused on whether they should take on the role of the patients’ advocate or that of gatekeeper to the society’s resources. In this article, we shed light on the role of health-care workers in limit setting and how their conferred legitimacy may support subordinators’ (i.e. citizens’) conferred legitimacy. We argue that health-care workers have an important role to play as both moral and political agents in limit setting, and delineate normative conditions that justify and facilitate health-care workers in conferring legitimacy on this kind of decision. Their role and potential impact on political limit setting does not—theoretically—affect the idea of democratic legitimacy negatively. Rather, as we suggest, by designing for limit-setting policymaking accordingly, health-care workers, as well as citizens, are more justified in conferring democratic legitimacy to health-care limit-setting decisions than if these concerns were not addressed.

Place, publisher, year, edition, pages
Oxford University Press, 2014. Vol. 7, no 2, 123-133 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-107915DOI: 10.1093/phe/phu016ISI: 000339851800004OAI: diva2:728024

Funding agencies|National Centre for Setting Priorities in Health Care at Linkoping University| Department of Global Public Health and Primary Care at the University of Bergen

Available from: 2014-06-23 Created: 2014-06-23 Last updated: 2016-03-11Bibliographically approved

Open Access in DiVA

fulltext(199 kB)74 downloads
File information
File name FULLTEXT01.pdfFile size 199 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Nedlund, Ann-Charlotte
By organisation
Division of Health Care AnalysisFaculty of Health SciencesNISAL - National Institute for the Study of Ageing and Later LifeFaculty of Arts and Sciences
In the same journal
Public Health Ethics
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 74 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 240 hits
ReferencesLink to record
Permanent link

Direct link