Jeanne Strunck

The discursive construction of self positioning amongst minority ethnic patients in a hospital ward

Abstract This paper deals with results from an ongoing research project about how patients and health professionals talk about and enact culture in a specific Danish hospital ward, whether this may have implications for staff–patient relationships and how knowledge of cultural complexities may add value to patient care. The project and this paper are based on a discourse analytic and social constructivist approach and, contrary to some earlier studies focusing on health professionals’ perceptions of culture in relation to the care of minority ethnic patients, this project and paper deal with culture seen from a patient perspective. Data have been collected from interviews with minority ethnic patients and with nurses about the intercultural encounter in an infectious diseases ward, and the analysis focuses on evaluating statements present in the discourses. The analysis aims at studying how such discourses may display the patients’ roles and self positioning, to discuss whether such positions and roles are attributable to culture, language proficiency or social conditions.

Health care policy at a crossroads?: A Discursive Study of Patient Agency in National Health Quality Strategies between 1993 and 2015

The Danish health care sector currently undergoes changes that imply a gradual transition from an evidence-based activity model to a value-based quality model centered on patient involvement and value-based governance. The patient naturally occupies a central position in health care, and the transition therefore raises important questions about health care quality and how successive national health quality strategies value quality and ascribe roles and agency to patients. To explore the complexity of these quality strategies, we analyze and discuss how political discourse moments influence the contents of the national health quality strategies and how variation in the construal of patient roles and agency indicates discursive struggle in Danish national health care policy. Underlying theoretical concepts are informed by New Public Management, the welfare state, health communication, and discourse theory. Our analytical approach is inspired by Critical Discourse Analysis and combines content analysis with linguistic analysis.