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Activation, medicalisation and inter-organisational cooperation in health insurance: implications for frontline social work in Sweden
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology. (Welfare and Life Course)
Institutionen för socialt arbete, Göteborgs universitet.
2017 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664Article in journal (Refereed) Epub ahead of print
Abstract [en]

This paper focuses on tensions between activation principles andmedicalisation in the Swedish sickness insurance and its implications forfrontline caseworkers in Social Security Agencies and Public EmploymentServices. The right to sickness cash benefits has become stricter and moreconditioned upon the person’s work ability and employability. The paperdescribes recent policy changes towards activation and stricter entitlementcriteria for sickness benefits policy and explores the consequences of suchnew activation policies in terms of changed work modes for caseworkersdealing with long-term sick people’s return-to-work process. It is concludedthat on the one hand frontline work contains a significant portion ofdiscretion and professional assessment of work abilities, and on the otherhand rule-bound administrative work. Furthermore, frontline workers needto apply organisational professionalism as inter-organisational cooperationis required in order to support long-term sick people to return-to-work.Medicalisation of ill-health, manifested in the right to sickness benefits hasnot been substantially circumscribed by new activation policies in thesickness insurance.

Place, publisher, year, edition, pages
2017.
Keywords [en]
activation, medicalisation, frontline work, sickness insurance, Sweden
National Category
Social Work
Identifiers
URN: urn:nbn:se:uu:diva-320683DOI: 10.1080/13691457.2017.1293010OAI: oai:DiVA.org:uu-320683DiVA, id: diva2:1090354
Projects
Swedish Research Council Dnr 421.2010-3307
Funder
Swedish Research CouncilAvailable from: 2017-04-24 Created: 2017-04-24 Last updated: 2018-02-01Bibliographically approved

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Lindqvist, Rafael

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