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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
Keywords guidelines, insurance medicine, objectivity, implementation, MEDICINE, SCIENCE, PROFESSIONALS, KNOWLEDGE, Social Sciences, Interdisciplinary, MOCRACIES
Subject categories Sociology


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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