Abstract
The predominantly public Danish healthcare system offers free or heavily subsidised access to healthcare services. Yet, as part of a general reorientation of Danish society towards marketisation in recent decades, private sector medicine has gained some foothold. The expansion of private healthcare services has been stimulated by a dramatic increase in private health insurance and a fully-fledged adoption of new public management strategies. This chapter examines how the marketisation of healthcare services, and transformations in the field of employment, may have brought about a more general commodification of health, nurturing health as an object of individual investment. It presents an analysis of four cases revolving around health professionals’ experiences with peer pressure to engage in health-related activities, their reflections on patients’ motives for seeking private health services, as well as their own strategies for maintaining and improving their health status. We conclude that transformations of fields and interrelations between them promote health investments within healthcare institutions—including private healthcare institutions—among patients and the service staff themselves on different levels. The healthcare professionals display a high level of reflection on how to play the ‘health game’, navigating a field increasingly dominated by processes of commercialisation and individualisation.
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References
Andersen, P.T. and Jensen, J.J. (2010). Healthcare reform in Denmark. Scandinavian Journal of Public Health, 38(3), pp. 246–252.
Andreasen, M.N., Søgaard, J., Kjellberg, J., et al. (2009). Privat/offentlig samspil i sundhedsvæsenet [Private/Public Interplay in the Healthcare Services]. Copenhagen: Dansk sundhedsinstitut.
Bourdieu, P. (1981). Ce que parler veux dire: L’économie des échanges linguistiques [That Talk Means: The Economics of Linguistic Exchanges]. Paris: Fayard.
Bourdieu, P. (1999). The Weight of the World: Social Suffering in Contemporary Society. Cambridge: Polity Press.
Bourdieu, P. and Farage, S. (1994). Rethinking the state: genesis and structure of the bureaucratic field. Sociological Theory, 12, pp. 1–18.
Bourdieu, P. and Wacquant, L.J.D. (1992). An Invitation to Reflexive Sociology. Cambridge: Polity Press.
Breidahl, K.N. and Larsen, F. (2015). Udfordringer og dilemmaer i det offentlige-private samspil på beskæftigelsesområdet: markedsgørelse i flere versioner [Challenges and dilemmas in public-private interplay in the area of employment]. Politika, 47, pp. 503–521.
Collyer, F.M., Willis, K.F. and Lewis, S. (2017). Gatekeepers in the healthcare sector: knowledge and Bourdieu’s concept of field. Social Science and Medicine, 186, pp. 96–103.
Danish Regions. (2016). Regionernes resultater 2016 [The Results from the Regions 2016]. Copenhagen.
Danish Ministry of Employment. (2012). Forslag til lov om ændring af lov om en aktiv beskæftigelsesindsats, lov om aktiv socialpolitik, lov om social pension og forskellige andre love [Proposal to Change the Law on Active Employment]. Copenhagen.
Danish Ministry of Health and Domestic Affairs. (2007). Sundhedssektoren i tal [The Health Sector in Numbers]. Copenhagen.
Glaser, B. (1978). Theoretical Sensitivity: Advances in the Methodology of Grounded Theory. Mill Valley: Sociology Press.
Green-Pedersen, C. and Baggesen, K.M. (2009). Between economic constraints and popular entrenchment: The development of the Danish welfare state 1982–2005. In: K. Schubert, S. Hegelich and U. Bazant (eds.) The Handbook of European Welfare Systems. London: Routledge.
Harsløf, I. (2004). Enterprise Rehabilitation: Involving Enterprises in the Vocational Rehabilitation Efforts in Denmark. Paper presented at the 20th World Congress of Rehabilitation International, June. Lillestrøm.
Harsløf, I., Søbjerg Nielsen, U. and Feiring, M. (2016). Danish and Norwegian hospital social workers’ cross-institutional work amidst inter-sectoral restructuring of health and social welfare. European Journal of Social Work, 20(4), pp. 1–12.
Hindhede, A.L. and Larsen, K. (2018). Prestige hierarchies of diseases and specialities in a field perspective. Social Theory and Health, 17(2), pp. 1–18.
Hornemann Møller, I. (2013). A liberalistic handling of new social risks – Danish experiences from three decades of social policy reform. In: I. Harsløf and R. Ulmestig (eds.) Changing Social Risks and Social Policy Responses in the Nordic Welfare States. Basingstoke: Palgrave Macmillan. pp. 25–49.
Håvold, O.K., Harsløf, I. and Andreassen, T.A. (2017). Externalizing an ‘asset model’ of activation: Creative institutional work by frontline workers in the Norwegian Labour and Welfare Service. Social Policy and Administration, 52(1), pp. 178–196.
Kirkegaard, K.L. (2011). Fitnesskultur.dk Fitness sektorens historie, de aktive udøvere og breddeidrættens kommercialisering. Ph.d. University of Southern Denmark, Odense (The history of Fitness culture, active practitioners and the commercialization of mainstream sports).
Kvist, J. and Harsløf, I. (2014). Workfare with welfare revisited: instigating dual tracks of insiders and outsiders. In: I. Lødemel and A. Moreira (eds.) Activation or Workfare? Governance and the Neo-Liberal Convergence. New York: Oxford University Press. pp. 47–72.
Larsen, K., Cutchin, M. and Harsløf, I. (2013). Health capital: new health risks and personal investments in the body in the context of changing Nordic welfare states. In: I. Harsløf and R. Ulmestig (eds.) Changing Social Risks and Social Policy Responses in the Nordic Welfare States. New York: Palgrave Macmillan. pp. 165–188.
Larsen, K., Harsløf, I., Højbjerg, K. and Hindhede, A.L. (2018). Health Capital: An Empirical Study of Danish Healthcare Professionals’ Bodily Investments. Paper XIX ISA World Congress of Sociology, Toronto, Canada. pp. 548–549.
Møller Pedersen, K. (2005). Kommunal medfinansiering af sundhedsvæsenet: en idé på sandgrund?[Municipal Co-financing of the Healthcare Field: An Idea or on Sandbunf]. Odense: Syddansk Universitetsforlag.
Møller Pedersen, K. (2010). Analyse: Afliv myterne om privathospitalerne [Analysis: the myths about the privat hospitals]. Politiken, 3 April.
Nomesco, E.G. (2017). Health Statistics for the Nordic Countries 2017. Copenhagen: Copenhagen: NOMESCO-NOSOSCO.
OECD. (2017a). Health at a Glance 2017. Paris: Organization for Economic Co-operation and Development.
OECD. (2017b). OECD Employment Outlook 2017. Employment outlook. Paris: Organisation for Economic Co-operation and Development.
Pedersen, O.K. (2011). Konkurrencestaten [The Competition State]. Copenhagen: Hans Reizels forlag.
Rosholm, M., Sørensen, K.L., Skipper, L., et al. (2018). Effektive sagsbehandlerstrategier i beskæftigelsesindsatsen [Effective Caseworker Strategies in the Employment Services]. Copenhagen: Væksthusets Forskningscenter.
The Danish Patient Safety Authority. (2018). Udviklingen i brug af alternativ behandling i Danmark 1987–2010 [Development in Use of Alternative Treatment in Denmark 1987–2010]. Available at: https://www.srab.dk/service-menu/statistik/udviklingen-i-brug-af-alternativ-behandling-i-danmark-1987-2010/.
Ugebrevet A4. (2008). Velstillede vælter sig i sundhedsforsikringer [The Affluent Are Rolling in Health Insurances]. 1 December.
Vandenberghe, F. (1999). “The Real is Relational”: an epistemological analysis of Pierre Bourdieu’s generative structuralism. Sociological Theory, 17, pp. 32–67.
Vollaard, H., van de Bovenkamp, H.M. and Vrangbæk, K. (2013). The emerging EU quality of care policy: From sharing information to enforcement. Health Policy, 111(3), pp. 226–233.
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Larsen, K., Harsløf, I. (2020). Chapter Ten: Promoting Health as a Form of Capital: The Transformation of the Danish Healthcare Field as Experienced By Private Healthcare Professionals. In: Collyer, F., Willis, K. (eds) Navigating Private and Public Healthcare. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-32-9208-6_10
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DOI: https://doi.org/10.1007/978-981-32-9208-6_10
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