{"title":"Service user involvement and repositioning of healthcare professionals: A framework for examining implications of different forms of involvement","authors":"T. Andreassen","doi":"10.18261/ISSN.2464-4161-2018-01-06","DOIUrl":"https://doi.org/10.18261/ISSN.2464-4161-2018-01-06","url":null,"abstract":"Models or measures to strengthen the position of service users not only change the position of the users, they also alter the position of the professionals involved. However, different forms of involvement alter the position of professionals differently. The aim of this article is to present an analytical framework that allows for an examination of different, ideal types of involvement, and their implications for the positioning of professionals. Three basic forms of involvement are identified: involvement as a) self-determination and self-management, b) sharing of lived experience, and c) co-management and mediation of causes and concerns. Within each of these basic forms, different models or measures are classified according to the positions of patients and professionals respectively. The framework shows that professionals are repositioned as facilitators, not only therapists; as partners and co-workers, rather than sole experts; as learners, rather than experts and teachers; and as recipients rather than in the position of offering knowledge and skills. While detailed and long-term investigation is necessary to determine the impact of involvement in actual cases, the presence of models and measures to strengthen the position of the users in various ways transforms the context of professional work, as well as the classic meaning of professionalism.","PeriodicalId":165032,"journal":{"name":"Nordisk välfärdsforskning | Nordic Welfare Research","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129892635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Brugerinddragelse – ny professionalisme og nye omsorgsrum?","authors":"Mari Holen, A. Kamp","doi":"10.18261/ISSN.2464-4161-2018-01-05","DOIUrl":"https://doi.org/10.18261/ISSN.2464-4161-2018-01-05","url":null,"abstract":"User involvement is increasingly the focus reforms of the health care system in the Nordic countries, and may be expected to change the authority and knowledge hierarchies in the care work. User involvement, however, is a broad concept and may be based on ideas of democratization as well as efficiency, redistribution of tasks and user accountability. In this article, we explore how user involvement is practiced in two major areas, psychiatry and COPD, where very different ideas of user involvement are prevalent. Psychiatry is characterized by strong user movements aiming at democratization, while, in the field of COPD, logics of efficiency and accountability are dominant. The article is based on exploratory field studies carried out as part of a larger research project, focusing on methods based on co-production and integrating the users' own knowledge, assessment and perspectives. The article shows how relationships between professionals and users are transformed. It also underline how new forms of knowledge gain momentum, but in ways that raise dilemmas and challenges to the professionals. Finally, we discuss potentials for new spaces for care to emerge, spaces which in a different way are open to participation and everyday life perspectives, but also offer challenges.","PeriodicalId":165032,"journal":{"name":"Nordisk välfärdsforskning | Nordic Welfare Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130385683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}