Ann-Charlotte Nedlund 

Doctoral Thesis:
Designing for Legitimacy – A Comparison of Policy Design When Setting Priorities in Health Care

Work tasks:

• Research
• Teaching

Research interests:

• Healthcare Decision-Making, Priority Setting in Healthcare
• Policy analysis
• Policy design
• Governance
• Legitimacy and Political trust
• Procedural justice
• Mediating institutions
• Qualitative methods

Current research projects:

• Designing for Legitimacy
  The overall aim of this project is to look at challenges of policy legitimacy when setting priorities in health care - what are the conditions to foster and strengthen policy legitimacy through policy design in situations of limit-setting in Swedish county councils. Of particular interest is legitimacy created in the internal processes, i.e between stakeholders within the health-care organization when a policy is formulated, designed and implemented. The assumption is that elements of procedural justice play an important role in fostering policy legitimacy. The empirical case studied is the policy design for the provision of assistive devices in two county councils in Sweden. Both county councils have the ambition to make the prescription process, and thus also the policy for provision of assistive devices, more ‘fair’ and more harmonized and equal, but the approaches and decision-making procedures to reach this goal differ.

• Study of the Health Technology Board (Metodrådet) in The County Council of Östergötland
  The aim of this project is to study how the Health Technology Board is acting as a "mediating institution", between the management of the county council and the professionals, in the development of models and procedures to both implement technologies and disuse technologies. Further, the aim is to see how its role may contribute to strengthen perception of legitimacy and justice when dealing with necessary priority-setting decisions.

Ann-Charlottes publications: DiVA, Linköping University Publication