Skip to main content
SpringerLink
Log in
Book cover

New Dynamics of Disability and Rehabilitation pp 97–120Cite as

Palgrave Macmillan

The Redesigning of Neurorehabilitation in Denmark and Norway

  • Chapter
  • First Online:

Abstract

This chapter examines how Danish and Norwegian authorities have designed political technologies of guidelines and guides for rehabilitating brain injury survivors. Contemporary reforms to health services, including the Danish Structural Reform and Norwegian Coordination Reform, provide the national structures for framing rehabilitation services as composite practices. Engaging critical discourse analysis, we address these changes by adopting the twin perspectives of intertextuality and interdiscursivity. First, this study outlines how documents such as clinical guidelines and service guides are in dialogue with each other and with other political, legal, and professional texts. Second, focusing on the language of coordination on transferring brain-injured patients between hospitals and municipalities, we identify interdiscursivity between three broad areas of procedures and devices in both countries: inter-institutional agreements, interprofessional communication, and individual rehabilitation plans. The main recommendations in the guidelines and service guides regarding these three areas are characterized by a mixture of languages, combining scientific evidence, legal obligations, citizens’ rights, and patients’ wishes.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    The DMP is not included in the part on interdiscursivity, in order to simplify the presentation and clarify the argumentation.

  2. 2.

    The NCG applies both the terms ‘rehabilitation plan’ and ‘individual care plan’ (Directorate of Health 2017c, p. 165).

  3. 3.

    https://dictionary.cambridge.org/dictionary/english/evidence

References

  • Bonfils, I. S. (2003). Historiske spor og nutidige udfordringer i handicappolitikken [Historical paths and contemporary challenges in disability policy]. In S. Bengtsson, I. S. Bonfils, & L. Olsen (Eds.), Handicap, kvalitetsudvikling og brugerinddragelse [Disability, quality development and user involvement] (pp. 13–36). København: Anvendt KommunalForskning.

    Google Scholar 

  • Bonfils, I. S., & Berger, N. P. (2010). Specialiserede tilbud til borgere med handicap—efter reformen [Specialized services for people with disabilities—After the reform]. København: AKF Forlag.

    Google Scholar 

  • Bowen, A., James, M., & Young, G. (Eds.). (2016). National clinical guideline for stroke. Prepared by the Intercollegiate Stroke Working Party. London: Royal College of Physicians.

    Google Scholar 

  • Byrkjeflot, H. (2011). Healthcare states and medical professions: The challenges from NPM. In T. Christensen & P. Lægreid (Eds.), The Ashgate research companion to new public management. Farnham: Taylor and Francis.

    Google Scholar 

  • Directorate of Health. (2017a). Veileder for utvikling av kunnskapsbaserte retningslinjer [Guide to the development of knowledge-based guidelines] (IS-1870). Oslo: The Directorate of Health.

    Google Scholar 

  • Directorate of Health. (2017b). Veileder om rehabilitering, habilitering, individuell plan og koordinator [Guide to rehabilitation, habilitation, individual care plan and coordinator]. Oslo: The Directorate of Health.

    Google Scholar 

  • Directorate of Health. (2017c). Nasjonal faglig retningslinje for behandling og rehabilitering ved hjerneslag [National clinical guideline for treatment and rehabilitation after stroke]. Oslo: The Directorate of Health.

    Google Scholar 

  • Fairclough, N. (2000). Discourse, social theory, and social research: The discourse of welfare reform. Journal of SocioLinguistics, 4(2), 163–195.

    Article  Google Scholar 

  • Fairclough, N. (2003). Analysing discourse: Textual analysis for social research. London: Routledge.

    Book  Google Scholar 

  • Feiring, M. (2012). Rehabilitation—Between management and knowledge practices: An historical overview of Norwegian welfare reforms. Policy and Society, 31, 119–129.

    Article  Google Scholar 

  • Feiring, M. (2016). Rehabiliteringsfeltet i Danmark—En begrebshistorie [The field of rehabilitation in Denmark—A history of concept]. Tidsskrift for professionsstudier [Journal for Professional Studies], 24(1), 86–97.

    Google Scholar 

  • Greenhalgh, T., & Russell, J. (2009). Evidence-based policymaking: A critique. Perspectives in Biology and Medicine, 52(2), 304–318.

    Article  Google Scholar 

  • Greenhalgh, T., Snow, R., Ryan, S., Rees, S., & Salisbury, H. (2015). Six ‘biases’ against patients and carers in evidence-based medicine. BMC Medicine, 13(1), 200.

    Article  Google Scholar 

  • Hammell, K. W. (2006). Perspectives on disability & rehabilitation: Contesting assumptions; challenging practice. Edinburgh: Churchill Livingstone/Elsevier.

    Google Scholar 

  • Hammersley, M. (2001, September 13–15). Some questions about evidence-based practice in education. The annual conference of the British Educational Research Association: Evidence-based practice in education. Paper presented at the symposium on University of Leeds.

    Google Scholar 

  • Ministry of Health and Care Services. (2009). Report no. 47 (2008–2009) to the Storting: The coordination reform—Proper treatment—At the right place and right time. Oslo: The Ministry.

    Google Scholar 

  • Ministry of Health and Care Services. (2011). ACT 24/06/2011 no. 30: ACT relating to municipal health and care services etc. Health and Care Services Act. Oslo: The Ministry.

    Google Scholar 

  • Ministry of Internal and Health Affairs. (2008). Sundhedsloven [The health act]. Copenhagen: The Ministry.

    Google Scholar 

  • Ministry of Internal and Health Affairs, Ministry of Social Affairs, Ministry of Work, & Ministry of Education. (2011). Vejledning om kommunal rehabilitering [Guidance on municipal rehabilitation]. Copenhagen: The Ministries.

    Google Scholar 

  • National Board of Health. (2011a). Hjerneskaderehabilitering—en medicinsk teknologivurdering [Brain injury rehabilitation—A health technology assessment: Summary]. Copenhagen: The National Board.

    Google Scholar 

  • National Board of Health. (2011b). Forløbsprogram for rehabilitering af voksne med erhvervet hjerneskade [Disease management programme for rehabilitation in adult acquired brain injury]. Copenhagen: The National Board.

    Google Scholar 

  • Olsen, L. (2008). Ny kommunal struktur og opgavefordeling—en vej til lige muligheder? [New municipal structure and division of tasks—A path to equal opportunities?]. In S. Bengtsson, I. S. Bonfils, & L. Olsen (Eds.), Handicap og ligebehandling i praksis [Disability and equal opportunities in practice] (pp. 63–83). København: Socialforskningsinstituttet.

    Google Scholar 

  • Røberg, A.-S., Feiring, M., & Romsland, G. (2016). Norwegian rehabilitation policies and the coordination Reform’s effect: A critical discourse analysis. Scandinavian Journal of Disability Research, 19(1), 56–68.

    Article  Google Scholar 

  • Rose, N. (1999). Powers of freedom: Reframing political thought. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Rose, N. (2006). Governing “advanced” liberal democracies. In A. Sharma & A. Gupta (Eds.), The anthropology of the state: A reader (pp. 144–162). Malden: Blackwell.

    Google Scholar 

  • Rose, N., & Miller, P. (2010). Political power beyond the state: Problematics of government. British Journal of Sociology, 61(S1), 271–303.

    Article  Google Scholar 

  • WHO. (2017). Rehabilitation in health systems. Geneva: World Health Organization.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway

    Marte Feiring

  2. Department of Social Work, University College Copenhagen, Copenhagen, Denmark

    Inge Storgaard Bonfils

Authors
  1. Marte Feiring
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Inge Storgaard Bonfils
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Marte Feiring .

Editor information

Editors and Affiliations

  1. Department of Social Work, Child Welfare and Social Policy, Oslo Metropolitan University, Oslo, Norway

    Ivan Harsløf

  2. Department of Neurorehabilitation Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

    Ingrid Poulsen

  3. Department of Learning and Philosophy, Aalborg University Copenhagen, Copenhagen, Denmark

    Kristian Larsen

Rights and permissions

Reprints and permissions

Copyright information

© 2019 The Author(s)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Feiring, M., Bonfils, I.S. (2019). The Redesigning of Neurorehabilitation in Denmark and Norway. In: Harsløf, I., Poulsen, I., Larsen, K. (eds) New Dynamics of Disability and Rehabilitation. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-13-7346-6_5

Download citation

  • DOI: https://doi.org/10.1007/978-981-13-7346-6_5

  • Published:

  • Publisher Name: Palgrave Macmillan, Singapore

  • Print ISBN: 978-981-13-7345-9

  • Online ISBN: 978-981-13-7346-6

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics

Search

Navigation