Jakob Larsen - Academia.edu (original) (raw)

Papers by Jakob Larsen

Research paper thumbnail of Advocacy coalitions and pharmacy policy in Denmark—Solid cores with fuzzy edges

Social Science & Medicine, 2006

This paper presents the results from a qualitative study in which the Advocacy Coalition Framewor... more This paper presents the results from a qualitative study in which the Advocacy Coalition Framework (ACF) was used to analyze deregulation of the distribution of medicine in Denmark in October 2001. The study is based on qualitative methods, and it examines the policy process between 1996 and 2001. Data sources were documents and qualitative interviews. The results show that minor modifications of the ACF are needed to make it fully applicable to the case of pharmacy policy, especially when the policy process proceeds in a predominantly corporatist state. We found that the policy process was framed by two coalitions advocating different belief systems. One coalition wanted the pharmacy sector to be controlled by the state, the other wanted a full-scale liberalization. Throughout the process there was a general shift in policy core beliefs among the actors involved--moving from positively disposed towards a market-oriented reform to being more negatively disposed towards such a reform. We argue that two factors contributed to this. First, as the discussions about a reform became more specific, technical matters began to influence the actors. Second, the legitimacy of a solution which did not alter the regulation of the pharmacy sector radically, was reinforced by institutionalized norms that made politicians take onboard pharmacy professionals' concerns.

Research paper thumbnail of The medicine user—Lost in translation?

Social Science & Medicine, 2005

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The results show that explicit references to the users of medicine by central actors in the political process were limited. Based on this we argue that in this case, although the debate centred on liberal ideas it seems as if chief values of classic liberalism were lost in the process of translating a political idea into political practice.

Research paper thumbnail of Dynamics of pharmacy regulation in Denmark, 1932-1994: A study of profession-state relations

Pharmacy in History, Feb 1, 2004

Research paper thumbnail of The medicine user--Lost in translation?: Analysis of the official political debate prior to the deregulation of the Danish medicine distribution system

Research paper thumbnail of The medicine user—Lost in translation

Social Science & Medicine, 2005

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The results show that explicit references to the users of medicine by central actors in the political process were limited. Based on this we argue that in this case, although the debate centred on liberal ideas it seems as if chief values of classic liberalism were lost in the process of translating a political idea into political practice. r

Research paper thumbnail of The medicine user—Lost in translation? Analysis of the official political debate prior to the deregulation of the Danish medicine distribution system

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The results show that explicit references to the users of medicine by central actors in the political process were limited. Based on this we argue that in this case, although the debate centred on liberal ideas it seems as if chief values of classic liberalism were lost in the process of translating a political idea into political practice. r

Research paper thumbnail of Advocacy coalitions and pharmacy policy in Denmark—Solid cores with fuzzy edges

Social Science & Medicine, 2006

This paper presents the results from a qualitative study in which the Advocacy Coalition Framewor... more This paper presents the results from a qualitative study in which the Advocacy Coalition Framework (ACF) was used to analyze deregulation of the distribution of medicine in Denmark in October 2001. The study is based on qualitative methods, and it examines the policy process between 1996 and 2001. Data sources were documents and qualitative interviews. The results show that minor modifications of the ACF are needed to make it fully applicable to the case of pharmacy policy, especially when the policy process proceeds in a predominantly corporatist state.

Research paper thumbnail of Dynamics of pharmacy regulation in Denmark, 1932-1994: a study of profession-state relations

Pharmacy in history, 2004

Research paper thumbnail of Dynamics of pharmacy regulation in Denmark, 1546-1932: a study of profession-state relations

Pharmacy in history, 2004

... PMID: 15295823 [PubMed - indexed for MEDLINE]. Publication Types: Historical Article. MeSH Te... more ... PMID: 15295823 [PubMed - indexed for MEDLINE]. Publication Types: Historical Article. MeSH Terms: Denmark; Government Regulation/history*; History, Early Modern 1451-1600; History, Modern 1601-; Licensure, Pharmacy/history*; Professional Role/history*.

Research paper thumbnail of Advocacy coalitions and pharmacy policy in Denmark—Solid cores with fuzzy edges

Social Science & Medicine, 2006

This paper presents the results from a qualitative study in which the Advocacy Coalition Framewor... more This paper presents the results from a qualitative study in which the Advocacy Coalition Framework (ACF) was used to analyze deregulation of the distribution of medicine in Denmark in October 2001. The study is based on qualitative methods, and it examines the policy process between 1996 and 2001. Data sources were documents and qualitative interviews. The results show that minor modifications of the ACF are needed to make it fully applicable to the case of pharmacy policy, especially when the policy process proceeds in a predominantly corporatist state. We found that the policy process was framed by two coalitions advocating different belief systems. One coalition wanted the pharmacy sector to be controlled by the state, the other wanted a full-scale liberalization. Throughout the process there was a general shift in policy core beliefs among the actors involved--moving from positively disposed towards a market-oriented reform to being more negatively disposed towards such a reform. We argue that two factors contributed to this. First, as the discussions about a reform became more specific, technical matters began to influence the actors. Second, the legitimacy of a solution which did not alter the regulation of the pharmacy sector radically, was reinforced by institutionalized norms that made politicians take onboard pharmacy professionals' concerns.

Research paper thumbnail of The medicine user—Lost in translation?

Social Science & Medicine, 2005

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The

Research paper thumbnail of The medicine user--Lost in translation?: Analysis of the official political debate prior to the deregulation of the Danish medicine distribution system

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The

Research paper thumbnail of Advocacy coalitions and pharmacy policy in Denmark—Solid cores with fuzzy edges

Social Science & Medicine, 2006

This paper presents the results from a qualitative study in which the Advocacy Coalition Framewor... more This paper presents the results from a qualitative study in which the Advocacy Coalition Framework (ACF) was used to analyze deregulation of the distribution of medicine in Denmark in October 2001. The study is based on qualitative methods, and it examines the policy process between 1996 and 2001. Data sources were documents and qualitative interviews. The results show that minor modifications of the ACF are needed to make it fully applicable to the case of pharmacy policy, especially when the policy process proceeds in a predominantly corporatist state. We found that the policy process was framed by two coalitions advocating different belief systems. One coalition wanted the pharmacy sector to be controlled by the state, the other wanted a full-scale liberalization. Throughout the process there was a general shift in policy core beliefs among the actors involved--moving from positively disposed towards a market-oriented reform to being more negatively disposed towards such a reform. We argue that two factors contributed to this. First, as the discussions about a reform became more specific, technical matters began to influence the actors. Second, the legitimacy of a solution which did not alter the regulation of the pharmacy sector radically, was reinforced by institutionalized norms that made politicians take onboard pharmacy professionals' concerns.

Research paper thumbnail of The medicine user—Lost in translation?

Social Science & Medicine, 2005

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The results show that explicit references to the users of medicine by central actors in the political process were limited. Based on this we argue that in this case, although the debate centred on liberal ideas it seems as if chief values of classic liberalism were lost in the process of translating a political idea into political practice.

Research paper thumbnail of Dynamics of pharmacy regulation in Denmark, 1932-1994: A study of profession-state relations

Pharmacy in History, Feb 1, 2004

Research paper thumbnail of The medicine user--Lost in translation?: Analysis of the official political debate prior to the deregulation of the Danish medicine distribution system

Research paper thumbnail of The medicine user—Lost in translation

Social Science & Medicine, 2005

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The results show that explicit references to the users of medicine by central actors in the political process were limited. Based on this we argue that in this case, although the debate centred on liberal ideas it seems as if chief values of classic liberalism were lost in the process of translating a political idea into political practice. r

Research paper thumbnail of The medicine user—Lost in translation? Analysis of the official political debate prior to the deregulation of the Danish medicine distribution system

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The results show that explicit references to the users of medicine by central actors in the political process were limited. Based on this we argue that in this case, although the debate centred on liberal ideas it seems as if chief values of classic liberalism were lost in the process of translating a political idea into political practice. r

Research paper thumbnail of Advocacy coalitions and pharmacy policy in Denmark—Solid cores with fuzzy edges

Social Science & Medicine, 2006

This paper presents the results from a qualitative study in which the Advocacy Coalition Framewor... more This paper presents the results from a qualitative study in which the Advocacy Coalition Framework (ACF) was used to analyze deregulation of the distribution of medicine in Denmark in October 2001. The study is based on qualitative methods, and it examines the policy process between 1996 and 2001. Data sources were documents and qualitative interviews. The results show that minor modifications of the ACF are needed to make it fully applicable to the case of pharmacy policy, especially when the policy process proceeds in a predominantly corporatist state.

Research paper thumbnail of Dynamics of pharmacy regulation in Denmark, 1932-1994: a study of profession-state relations

Pharmacy in history, 2004

Research paper thumbnail of Dynamics of pharmacy regulation in Denmark, 1546-1932: a study of profession-state relations

Pharmacy in history, 2004

... PMID: 15295823 [PubMed - indexed for MEDLINE]. Publication Types: Historical Article. MeSH Te... more ... PMID: 15295823 [PubMed - indexed for MEDLINE]. Publication Types: Historical Article. MeSH Terms: Denmark; Government Regulation/history*; History, Early Modern 1451-1600; History, Modern 1601-; Licensure, Pharmacy/history*; Professional Role/history*.

Research paper thumbnail of Advocacy coalitions and pharmacy policy in Denmark—Solid cores with fuzzy edges

Social Science & Medicine, 2006

This paper presents the results from a qualitative study in which the Advocacy Coalition Framewor... more This paper presents the results from a qualitative study in which the Advocacy Coalition Framework (ACF) was used to analyze deregulation of the distribution of medicine in Denmark in October 2001. The study is based on qualitative methods, and it examines the policy process between 1996 and 2001. Data sources were documents and qualitative interviews. The results show that minor modifications of the ACF are needed to make it fully applicable to the case of pharmacy policy, especially when the policy process proceeds in a predominantly corporatist state. We found that the policy process was framed by two coalitions advocating different belief systems. One coalition wanted the pharmacy sector to be controlled by the state, the other wanted a full-scale liberalization. Throughout the process there was a general shift in policy core beliefs among the actors involved--moving from positively disposed towards a market-oriented reform to being more negatively disposed towards such a reform. We argue that two factors contributed to this. First, as the discussions about a reform became more specific, technical matters began to influence the actors. Second, the legitimacy of a solution which did not alter the regulation of the pharmacy sector radically, was reinforced by institutionalized norms that made politicians take onboard pharmacy professionals' concerns.

Research paper thumbnail of The medicine user—Lost in translation?

Social Science & Medicine, 2005

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The

Research paper thumbnail of The medicine user--Lost in translation?: Analysis of the official political debate prior to the deregulation of the Danish medicine distribution system

This paper presents results from a qualitative analysis of official documents dealing with the de... more This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The