Kirsten Frederiksen

Patient Involvement and Institutional Logics: a discussion paper

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review


The research into patient involvement is seldom concerned with the significance of cultural and structural factors. In this discussion paper, we illustrate our considerations on some of the challenges in implementing the ideal of patient involvement by showing how such factors take part in shaping the ways in which the intentions to involve patients are converted to practical interventions. The aim was to contribute to the approach dealing with contextual and structural factors of significance for patient involvement. With the idea of “institutional logics,” borrowed from the Danish scholar, Erik Riiskjær, we first demonstrate, with examples from our own research, how patient involvement is interpreted differently within the different logics. Then, we show how the different interpretations of patient involvement meet and conflict in mutual competition as the ideals are sought to be converted to practical interventions. At last, we argue that an adequate theoretical model for the development in the future health care system should be expanded with a “patient logic.”.

Original languageEnglish
Article numbere12234
JournalNursing Philosophy
Number of pages8
Publication statusPublished - 2019

    Research areas

  • CHALLENGES, PARTICIPATION, health service, hospital, institutional logics, patient involvement

See relations at Aarhus University Citationformats

ID: 137132831