Personalised medicine and the state: A political discourse analysis |
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Authors: | Viola Burau Nina Nissen Morten Deleuran Terkildsen Ulla Væggemose |
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Institution: | 1. Department of Political Science, Aarhus University, Bartholins Allé 9, 8000, Aarhus C, Denmark;2. Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus C, Denmark;3. DEFACTUM – Public Health and Health Services Research, Central Denmark Region, Olof-Palmes Allé 15, 8200, Aarhus N, Denmark;4. Prehospital Emergency Department, Aarhus University Hospital, Olof Palmes Allé 34, 8200, Aarhus C, Denmark;1. Department for Finance, Faculty of Economics and Business, University of Maribor, Razlagova 14, 2000 Maribor, Slovenia;2. WHO European Office for Investment for Health and Development, C/O Ospedale S. Giovanni e Paolo, Corridoio San Domenico, 6777 Castello, 30122 Venice, Italy;1. Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;2. Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;1. Department of Economics, College of Business and Economics, Chung-Ang University, 456-756, South Korea;2. Korea Institute for Industrial Economics & Trade, Sejong National Research Complex, 370, Sicheong-daero, Sejong, 30147, South Korea;1. Department of Sociology, Tilburg University, the Netherlands;2. Tranzo, Tilburg University, the Netherlands;1. Erasmus School of Health Policy & Management, Erasmus University, Rotterdam, the Netherlands;2. Meerding Advies, Gouda, the Netherlands |
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Abstract: | The last decade has seen a range of health policy initiatives relating to personalised medicine. There is an emerging body of studies that demonstrates the continued importance of states in the development of personalised medicine. This paper contributes to this literature by focusing on how political discourses construct the role of states in personalised medicine. Based on a case study of the introduction of a national programme in Denmark, the analysis identifies specific discursive mechanisms in this construction. The material consists of documents from key national stakeholders, media coverage and interviews with experts at the national level. The analysis found three types of discursive mechanisms. Firstly, mechanisms can relate to problem definitions, and these were concerned with a number of salient problems of health services. Secondly, mechanisms can relate to underlying assumptions, and these were about the possibility of engineering healthcare improvement through data and by extension personalised medicine. Thirdly, mechanisms can relate to discursive effects, and here the state emerged as a highly influential governor. These mechanisms are likely to be highly relevant for other countries, but future research needs to test this. Health policy practitioners and health administrators thus need to invest effort into influencing political discourses around personalised medicines, in addition to the formulation of policies itself. |
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Keywords: | Personalised medicine State Political discourse Denmark |
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