IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v73y2011i2p201-208.html
   My bibliography  Save this article

Empowerment in drug treatment: Dilemmas in implementing policy in welfare institutions

Author

Listed:
  • Frank, Vibeke Asmussen
  • Bjerge, Bagga

Abstract

This article analyzes how and why welfare policies focusing on empowerment as users' self-management create dilemmas in medically assisted drug treatment in Denmark. Drawing on ethnographic fieldwork, the article points to two sets of dilemmas by focusing on the relationship between legal and institutional setups and staff and user possibilities for agency. The first dilemma concerns how to provide user self-management and individualized services and the actual possibilities of effectuating this in welfare institutions imbued by limited resources, manpower, and local rules. The second, how to create a balance between notions of user self-management and legal demands of control regarding substitution medicine. The article analyzes empowerment as a policy arguing that implementation of policy - also called policy in practice - is integral to policy studies, rather than a domain that is separate from policy making.

Suggested Citation

  • Frank, Vibeke Asmussen & Bjerge, Bagga, 2011. "Empowerment in drug treatment: Dilemmas in implementing policy in welfare institutions," Social Science & Medicine, Elsevier, vol. 73(2), pages 201-208, July.
    • Handle: RePEc:eee:socmed:v:73:y:2011:i:2:p:201-208
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953611002784
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Fox, N.J. & Ward, K.J. & O'Rourke, A.J., 2005. "The 'expert patient': empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet," Social Science & Medicine, Elsevier, vol. 60(6), pages 1299-1309, March.
    2. Anonymous, 2005. "Drug Policy 1986," Working Papers id:80, eSocialSciences.
    3. Oecd, 2005. "Secondary Markets for Spectrum: Policy Issues," OECD Digital Economy Papers 95, OECD Publishing.
    4. Anonymous, 2005. "Modifications in Drug Policy 1986," Working Papers id:81, eSocialSciences.
    5. ., 2005. "Policy Challenges Facing Public Utilities," Chapters, in: Public Utilities, chapter 2, Edward Elgar Publishing.
    6. anonymous, 2005. "Revised payments system risk policy," Federal Reserve Bulletin, Board of Governors of the Federal Reserve System (U.S.), issue Win, pages 1-37.
    7. Anonymous, 2005. "Pharmaceutical Policy, 2002," Working Papers id:84, eSocialSciences.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Zhang, Chaoxiong, 2022. "Building care amid navigating liability risks: The possibility of policy-driven care in China's drug-control arena," Social Science & Medicine, Elsevier, vol. 314(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Guo, Fei & Kurdgelashvili, Lado & Bengtsson, Magnus & Akenji, Lewis, 2016. "Analysis of achievable residential energy-saving potential and its implications for effective policy interventions: A study of Xiamen city in southern China," Renewable and Sustainable Energy Reviews, Elsevier, vol. 62(C), pages 507-520.
    2. Andersson, Elias & Lidestav, Gun, 2016. "Creating alternative spaces and articulating needs: Challenging gendered notions of forestry and forest ownership through women's networks," Forest Policy and Economics, Elsevier, vol. 67(C), pages 38-44.
    3. Prior, Lindsay & Evans, Meirion R. & Prout, Hayley, 2011. "Talking about colds and flu: The lay diagnosis of two common illnesses among older British people," Social Science & Medicine, Elsevier, vol. 73(6), pages 922-928, September.
    4. Philippe Batifoulier & John Latsis & Jacques Merchiers, 2010. "Les priorités de la prise en charge financière des soins. Une approche par la philosophie du besoin," EconomiX Working Papers 2010-2, University of Paris Nanterre, EconomiX.
    5. Chandwani, Rajesh & Edacherian, Saneesh & Sud, Mukesh, 2019. "Whose Empowerment? National Digital Infrastructure and India’s Healthcare sector," IIMA Working Papers WP 2019-02-01, Indian Institute of Management Ahmedabad, Research and Publication Department.
    6. Adams, Samantha A., 2011. "Sourcing the crowd for health services improvement: The reflexive patient and "share-your-experience" websites," Social Science & Medicine, Elsevier, vol. 72(7), pages 1069-1076, April.
    7. Bernardi, Roberta & Wu, Philip F., 2022. "Online health communities and the patient-doctor relationship: An institutional logics perspective," Social Science & Medicine, Elsevier, vol. 314(C).
    8. Brothers, Sarah, 2019. "A good “doctor” is hard to find: Assessing uncredentialed expertise in assisted injection," Social Science & Medicine, Elsevier, vol. 237(C), pages 1-1.
    9. Scavarda, Alice & Ariel Cascio, M., 2022. "Embracing and rejecting the medicalization of autism in Italy," Social Science & Medicine, Elsevier, vol. 294(C).
    10. Read, John, 2008. "Schizophrenia, drug companies and the internet," Social Science & Medicine, Elsevier, vol. 66(1), pages 99-109, January.
    11. Kuchinskaya, Olga & Parker, Lisa S., 2018. "‘Recurrent losers unite’: Online forums, evidence-based activism, and pregnancy loss," Social Science & Medicine, Elsevier, vol. 216(C), pages 74-80.
    12. Greenfield, Geva & Pliskin, Joseph S. & Feder-Bubis, Paula & Wientroub, Shlomo & Davidovitch, Nadav, 2012. "Patient–physician relationships in second opinion encounters – The physicians’ perspective," Social Science & Medicine, Elsevier, vol. 75(7), pages 1202-1212.
    13. Dedding, Christine & van Doorn, Roesja & Winkler, Lex & Reis, Ria, 2011. "How will e-health affect patient participation in the clinic? A review of e-health studies and the current evidence for changes in the relationship between medical professionals and patients," Social Science & Medicine, Elsevier, vol. 72(1), pages 49-53, January.
    14. Salant, Talya & Santry, Heena P., 2006. "Internet marketing of bariatric surgery: Contemporary trends in the medicalization of obesity," Social Science & Medicine, Elsevier, vol. 62(10), pages 2445-2457, May.
    15. Arjen Zegwaard & Arthur Petersen & Philippus Wester, 2015. "Climate change and ontological politics in the Dutch Delta," Climatic Change, Springer, vol. 132(3), pages 433-444, October.
    16. Stacey, Clare Louise & Henderson, Stuart & MacArthur, Kelly R. & Dohan, Daniel, 2009. "Demanding patient or demanding encounter?: A case study of a cancer clinic," Social Science & Medicine, Elsevier, vol. 69(5), pages 729-737, September.
    17. Menon, Alka V., 2017. "Do online reviews diminish physician authority? The case of cosmetic surgery in the U.S," Social Science & Medicine, Elsevier, vol. 181(C), pages 1-8.
    18. Will, Catherine M. & Weiner, Kate, 2015. "The drugs don't sell: DIY heart health and the over-the-counter statin experience," Social Science & Medicine, Elsevier, vol. 131(C), pages 280-288.
    19. McDonald, Ruth & Cheraghi-Sohi, Sudeh & Sanders, Caroline & Ashcroft, Darren, 2010. "Professional status in a changing world: The case of medicines use reviews in English community pharmacy," Social Science & Medicine, Elsevier, vol. 71(3), pages 451-458, August.
    20. Thomas, Felicity & Aggleton, Peter & Anderson, Jane, 2010. "'Experts', 'partners' and 'fools': Exploring agency in HIV treatment seeking among African migrants in London," Social Science & Medicine, Elsevier, vol. 70(5), pages 736-743, March.

    More about this item

    Keywords

    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:73:y:2011:i:2:p:201-208. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.