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Variation in views on clients in interprofessional work for vocational rehabilitation in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
2007 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 21, no 5, 479-489 p.Article in journal (Refereed) Published
Abstract [en]

To deal with long-term sickness absence, inter-organizational and interprofessional projects for rehabilitation were established in Sweden in the late 1990s. This study explores the different views about the clients of such a project from the professionals of the organizations involved. Twenty-one key informants were interviewed in 1999 and 22 in 2002. The interviews were semi-structured and analysed with a phenomenographic approach. Four descriptive categories emerged: (A) the individual as consisting of components, (B) the individual in his/her context, (C) the individual as part of a group, and (D) the individual as part of the population. Category A included a paternalistic view and B included a maternalistic as well as an autonomous view. Both paternalism and maternalism imply an inequality in the relationship between the professional and the client. Category C had an organizational perspective, whereas category D had a community perspective. Both of these perspectives included an abstract view of the client. The conclusions were that the professionals had qualitatively different views on clients, which might lead to unequal encounters as well as differences in opportunities for rehabilitation. The results stress the importance of discussing what ethical values are desirable, not least in inter-organizational and interprofessional projects.

Place, publisher, year, edition, pages
2007. Vol. 21, no 5, 479-489 p.
Keyword [en]
Attitude of Health Personnel, Holistic Health, Humans, Interinstitutional Relations, Interprofessional Relations, Interviews as Topic, Learning, Organizational Culture, Paternalism, Patient Care Team, Personal Autonomy, Professional-Patient Relations/*ethics, Qualitative Research, Rehabilitation; Vocational/psychology/*standards, Social Welfare, Stereotyping, Sweden
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-15704DOI: 10.1080/13561820701478120PubMedID: 17891622OAI: oai:DiVA.org:uu-15704DiVA: diva2:43475
Available from: 2008-03-03 Created: 2008-03-03 Last updated: 2017-12-08Bibliographically approved

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Holmström, Inger

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