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Ann-Charlotte Nedlund

Senior Associate Professor

My research interests are related to issues that concern health and social policy, governance, issue on citizenship, legitimacy, the conditions of democracy and the welfare system. 

Democracy and welfare system

I am interested in how institutional settings, norms, and values and dimension of power are managed in practice in health care and social care organisations.

My research interest lies at the intersections between healthcare and social services. It involves the governance, priority setting, and allocation of the limited resources of the public welfare, how regulations, implementation and the organizing in activities takes place. This concerns collaboration between different actors at various levels, between specialties and professionals, and in cooperation with civil society and voluntary organizations. A particular interest is directed towards the conditions for different groups of citizens, such as older people and people with dementia, to be involved in their interactions with the welfare system and the opportunities they have to continue being in decisions

Examples of Ongoing Research

Creating Conditions for Trustworthy and Fair Priorities: Organization, Internal and External Legitimacy

Including projects on the organization and practice of priority setting in primary care, palliative care, municipal healthcare,
projects on the welfare system distribution of responsibility and how ideas, norms, values, and power are practiced when allocating limited resources,
projects on the role of leadership and municipal self-governance in priority setting within municipalities and regions.
Ambiguous Governance and Practice in the Frontstage and Backstage of Healthcare and Social Services
Including projects on knowledge governance and the role of politics in knowledge governance, projects on the importance of collegial interaction, discussions and reasoning for managing conflicting demands and priority-setting dilemmas in their everyday operations.
Integrated Care: Collaboration and Coordination of Care Services between Regional and Municipal Care

Functionality during peacetime crises and war within social services

Civil society and voluntary organizations in collaboration with the public sector

The patient in the healthcare system

Including projects on care encounters in which patients express critique and what ideas and assumptions about people govern healthcare systems and organization, together with Jelmer Brüggemann and Lisa Guntram, both at Technology and Social Change, Linköping University. Funded by The Swedish Research Council,
projects on ideas on and the conditions for practicing "person-centered care" among healthcare workers

On Citizenship and Dementia

Citizenship - and being a citizen – concerns to a large extent to be participating and involved in the community and in the everyday life. It can be to participate and influence political matters, such as what goals and what visions that should be at the front in the society, but also to participate in activities and decisions that concern one’s own daily life.To highlight a citizenship perspective can illustrate how citizens living with dementia can continue to be active and participating persons in their neighbourhood, community and in the democracy, and by that also have fair conditions to take part and create their citizenship based on their own individual conditions.
This includes an international project on Dementia in the Workplace (MCI@work), and how conditions for participation can be created for people with mild cognitive impairment/dementia and opportunities to continue being active citizens in society, even after their working life. Projects also explore how citizenship for people with dementia is addressed in policy documents, in interactions with welfare workers, and in the legal field – tensions between law and practice regarding guardianship and the right to self-determination.

On Citizenship and the Conditions for Participation of Elderly People

Including the project "Special Housing as Technological Habitats – Digital Technology as Support for Citizenship, Participation, and Dignity for Elderly People Living in Special Housing." Funded by FORTE. Collaboration btw Jönköping University (PI), Linköping university, Linné university and Karolinska Institute,
Project on Loneliness and social isolation among older people

To Withdraw or withhold Treatments when Setting Priorities

Project that explores the ethical dilemmas that arise when making priority-setting decisions about withdrawing or withholding treatments; examining the reasoning of both physicians and patient organization representatives

About me

CV

  • Docent in Political Science, Linköping university
  • Associate professor, Ageing and Later Life with a focus on Politics and Policy analysis, Linköping University
  • Post doctor, shared appointment between CEDER- Centre for Dementia Research and
    Swedish National Centre for Priorities in Health, both at Linköping University
  • Guest researcher at University of British Columbia, Vancouver, Canada, 2014
  • Guest researcher at University of Edinburgh, Scottland, 2014
  • PhD, Health Technology Assessment, 2012, at Swedish National Centre for Priorities in Health, Linköping University
  • MA. in Public Administration and Economics with a major in Political Science, 2004, Umeå University
  • BA. in Economics, 2004, Umeå University

Teaching

Teaches and supervises students in courses focused on welfare issues, politics, democracy, public administration, resource allocation and priority-setting, healthcare services, social services, social insurance system, citizenship, inclusion, the right to self-determination, as well as qualitative methods at undergraduate, advanced, and phd student levels.

Supervision of PhD students:

Present:
Daniel Boëthius, Linköping University. Main supervisor
Emma Bergstedt, Linköping University. Main supervisor
My Eklund Saksberg, Linköping University. Main supervisor
Suzana Holmér, Linköping University. Co-supervisor
Liam Strand, Linköping University. Co-supervisor

Phd Graduates:
Thérèse Eriksson, 2020, ”Promises and pitfalls of value-based reimbursement in healthcare: A mixed method health economic approach”, Linköping University
Axel Ågren, 2020, ”Loneliness and Dying as Issues of Public Concern in Sweden”, Linköping University
Johanna Wiss, 2017, ”Healthcare Priority Setting and Rare Diseases: What Matters When Reimbursing Orphan Drugs”, Linköping University
Jonas Nordh , 2016, ”Social citizenship and people with dementia: Designing social care policies in Sweden”, Linköping University
Nathalie Eckard, 2015, “The matter of economic evaluations in health policy decision-making: The case of the Swedish national guidelines for heart diseases”, Linköping University

Assignments and Network


Publications

2024

Liam Strand, Lars Sandman, Emil Persson, David Andersson, Ann-Charlotte Nedlund, Gustav Tinghög (2024) Withdrawing versus Withholding Treatments in Medical Reimbursement Decisions: A Study on Public Attitudes Medical decision making, Vol. 44, p. 641-648 (Article in journal) Continue to DOI
Kristina M. Kokorelias, Nirusa Nadesar, Katherine Bak, Jennifer Boger, Louise Nygård, Anna Mäki-Petäjä-Leinonen, Ann-Charlotte Nedlund, Arlene Astell (2024) The impact on employment and education of caregiving for a family member with young onset dementia: A scoping review Dementia, Vol. 23, p. 850-881 (Article in journal) Continue to DOI
Emma Bergstedt, Lars Sandman, Ann-Charlotte Nedlund (2024) Consolidating political leadership in healthcare: a mediating institution for priority-setting as a political strategy in a local health system Health Economics, Policy and Law (Article in journal) Continue to DOI
My Eklund Saksberg, Therese Bielsten, Suzanne Cahill, Tiny Jaarsma, Ann-Charlotte Nedlund, Lars Sandman, Pier Jaarsma (2024) Nurses' priority-setting for older nursing home residents during COVID-19 Nursing Ethics (Article in journal) Continue to DOI

2023

Ann-Charlotte Nedlund, Ali Reza Majlesi, Camilla Malinowsky, Birgit Heuchemer (2023) Recognizing agency and everyday citizenship practice for people at forensic psychiatric care Nature Mental Health, Vol. 1, p. 444-445 (Article in journal) Continue to DOI

Research

Research Grants

I have been awarded several research grants as the principal investigator and co-investigator from funders such as FORTE- Swedish Research Council for Health, Working Life and Welfare; the Swedish Research Council; the Riksbankens Jubileumsfond; European Council: the Joint Programming Initiative More Years Better Lives; among others.

Organisation