The meanings and the logic of the processes of the new competitive practices in the Finnish primary health care services
Department of Social Research University of Tampere Tampere, Finland
The aim of the presentation is to unravel the meanings and the logic of the processes of the new competitive practices that have been adopted by primary health care during the last two decades in Finland. Adopting a cultural studies perspective, the presentation sets out to explore the way in which the municipal officials make sense of their own position and their own actions in a given historical situation, which is characterised by a pronounced of individualism and competition. The aim is to understand how the municipal officials see the recent shift to the competition oriented policies in the primary health care.
The material for the presentation consists of five interviews with municipal officials who were liable for the subscribing of the primary health care services during the years 2005-2008 in three Finnish municipalities. The material is a part of the larger data for the ongoing research project concerning the outsourced health care services in Finland. The research data is qualitative and the approach exploits viewpoints of sociological cultural studies and narrative analysis. The study will enter the debate on the recent change in values and organization of the health care system and achieves an understanding of the change in the welfare state from the perspective of individual actors.