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Objectivities of a post-normal guideline project: the introduction of a guideline for sick-listing practices in Sweden

Journal article
Authors Morten Sager
Lena Eriksson
Published in Evidence & Policy
Volume 11
Issue 3
Pages 351-376
ISSN 1744-2648
Publication year 2015
Published at Department of Philosophy, Linguistics and Theory of Science
Pages 351-376
Language en
Links dx.doi.org/10.1332/174426415x143532...
Keywords guidelines, insurance medicine, objectivity, implementation, MEDICINE, SCIENCE, PROFESSIONALS, KNOWLEDGE, Social Sciences, Interdisciplinary, MOCRACIES
Subject categories Sociology

Abstract

In this article we describe and diagnose ailments suffered by the so-called 'medical insurance decision-making support tool' that was published in 2007 as part of a major reform of the Swedish social insurance. Through document studies and interviews the guideline is analysed and compared with a reference case, a guideline within cardiology. Particular attention is paid to different types of objectivity and how they relate to the sick-listing guidelines and their uncertain, multi-professional, high-stakes or 'post-normal' character. Conflicting concerns and probably unavoidable choices are found in the ambitions, formats, implementation mode and experts of the guidelines.

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