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Ravn IM, Frederiksen K, Beedholm K. The Chronic Responsibility: A Critical Discourse Analysis of Danish Chronic Care Policies. Qual Health Res. 2015;26(4):545-54doi: 10.1177/1049732315570133.
Ravn, I. M., Frederiksen, K., & Beedholm, K. (2016). The Chronic Responsibility: A Critical Discourse Analysis of Danish Chronic Care Policies. Qualitative health research, 26(4), 545-54. https://doi.org/10.1177/1049732315570133
Ravn, Iben M, et al. "The Chronic Responsibility: A Critical Discourse Analysis of Danish Chronic Care Policies." Qualitative health research vol. 26,4 (2016): 545-54. doi: https://doi.org/10.1177/1049732315570133
Ravn IM, Frederiksen K, Beedholm K. The Chronic Responsibility: A Critical Discourse Analysis of Danish Chronic Care Policies. Qual Health Res. 2016 Mar;26(4):545-54. doi: 10.1177/1049732315570133. Epub 2015 Feb 06. PMID: 25662943.
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Qual Health Res. 2016 Mar;26(4):545-54. doi: 10.1177/1049732315570133. Epub 2015 Feb 06.

The Chronic Responsibility: A Critical Discourse Analysis of Danish Chronic Care Policies.

Qualitative health research

Iben M Ravn, Kirsten Frederiksen, Kirsten Beedholm

Affiliations

  1. VIA University College, Viborg, Denmark.
  2. Aarhus University, Aarhus, Denmark.
  3. Aarhus University, Aarhus, Denmark [email protected].

PMID: 25662943 DOI: 10.1177/1049732315570133

Abstract

This article reports on the results of a Fairclough-inspired critical discourse analysis aiming to clarify how chronically ill patients are presented in contemporary Danish chronic care policies. Drawing on Fairclough's three-dimensional framework for analyzing discourse, and using Dean's concepts of governmentality as an interpretative lens, we analyzed and explained six policies published by the Danish Health and Medicines Authority between 2005 and 2013. The analysis revealed that discourses within the policy vision of chronic care consider chronically ill patients' active role, lifestyle, and health behavior to be the main factors influencing susceptibility to chronic diseases. We argue that this discursive construction naturalizes a division between people who can actively manage responsible self-care and those who cannot. Such discourses may serve the interests of those patients who are already activated, while others remain subjugated to certain roles. For example, they may be labeled as "vulnerable."

© The Author(s) 2015.

Keywords: discourse analysis; health policy / policy analysis; illness and disease, chronic; knowledge construction

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