Photo of Ann-Charlotte Nedlund

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.

I am a senior lecturer of Politics and Policy Analysis in Aging and Later Life. My appointment is shared between the National Institute for the Study of Ageing and Later Life (NISAL), Department of Social and Welfare Studies; the Swedish National Centre for Setting Priorities in Health Care, Division of Health Care Analysis; and Medical Education – Interprofessional Learning, both at the Department of Medical and Health Sciences, all at Linköping University.


Within NISAL and CEDER my research focuses on issues related to citizenship for older people in general and people living with dementia in particular. Special interest is directed towards how the conditions for citizens with dementia to practise their citizenship is regarded and realised; how various institutional settings, norms and values, different ways of organising and practise, that construct the content of citizenship for people with dementia; and how various forms of participation can enhance the intentions of political equality that embrace the concept of citizenship. Special focus is on interactions and meaning-making processes, where various actors in different situations and locations are interpreting and forming the content of the citizenship for people with dementia. My interest is thus to enhance the understanding for the practice and content of citizenship for people with dementia, the social construction of people with dementia and the processes of inclusion and/or exclusion, and what implications this have from a political and democratic perspective. By departing from a comprehensive view of citizenship, placed in a democratic setting, the cases of dementia may shed light and problematise, not least, the aspect of active citizenship, since people with dementia suffer from changes and reductions in their communicative and/or cognitive abilities.

National Centre for Setting Priorities in Health Care

Within this Centre my research focuses on issues related to legitimacy, trust, different forms of organising, policy work and constructing meanings related to rationing, priority- and limit settings in health care. Special focus is done on the importance of “internal legitimacy” and on the internal organisational work with priorities, i.e. the work within the healthcare organisations, where various actors with different roles, logics and experiences (as politicians, administrators, various professionals) are interacting in order to reach an appropriate course of action among different types of situations that are characterised by conflicting pressures. Another special focus is on the value of “mediating institutions” in order to strengthening the internal legitimacy. These mediating institutions can function as sites for forming collective meanings for the actors in what they should do, how they should do it and how they can find support for their practices. The theoretical and empirical research on internal legitimacy and mediating institutions shed light on how legitimacy and trust can be generated and strengthened within the healthcare organisations, and moreover for the healthcare system at large. My research also involves issues related to how policies get shaped in complex knowledge intensive policy fields, as the health care, where different actors have various views on a policy problem and what they regard as evidence and knowledge. E.g. a study on a personalised health care and the different understandings and problem frames related to personalisation among actors (members of a regional advisory body, senior administrators and clinical unit managers) at a regional level in Sweden.

Interprofessional learning

Within Medical Education – Interprofessional learning I am pedagogical responsible teacher and coordinator for the module Quality and Improvement in Health care (Förbättringskunskap – HEL2). The module is cross-programme integrated, i.e. it involves students from different programmes Medicine, Nursing, Occupational Therapy, Physiotherapy, Speech and Language Pathology, and Biomedical Laboratory Science. The pedagogical profile is Problem-based learning. The module involves ”contact persons” for each small 8-student group from the regional health authority ”Region Östergötland” - RÖ. In this module the students are working on real-case scenarios where the RÖ have suggested actual cases in their unit etc. for the students to work on in order to improve quality for the patients. By that once could say that it is also "a cross-authority” module.


About me

About my thesis

I received my Ph.D. in June 2012 with a dissertation on the issue of legitimacy, and the organising and meaning making of rationing in health care (Designing for Legitimacy. Policy Work and the Art of Juggling When Setting Limits in Health Care). The topic had an interdisciplinary character oriented towards social sciences, politics, health policy, political philosophy, political sociology, critical and interpretive policy analysis and institutional analysis. The thesis had both and empirical and theoretical approach, where the empirical part focused on the policy work for a policy for provision of assistive technologies that was carried out by healthcare professionals and by senior administrators in two Swedish regional authorities.


I have a MA. in Public Administration and Economics with a major in Political Science and BA. in Economics (Umeå University).


I have initiated and I am a coordinator of the International Research Network on Citizenship and Dementia. At the CEDER – Center for dementia research, she is a coordinator of the research group Citizenship and Dementia.



Kristina M. Kokorelias, Nirusa Nadesar, Katherine Bak, Jennifer Boger, Louise Nygard, Anna Maeki-Petaejae-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 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 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 Continue to DOI


Louise Nygard, Ann-Charlotte Nedlund, Anna Maki Petaja Leinonen, Arlene Astell, Jennifer Boger, Mervi Issakainen, Ann-Louise Engvall, Birgit Heuchemer, Lena Rosenberg, Charlotta Ryd (2023) What happens when people develop dementia whilst working? An exploratory multiple case study International Journal of Qualitative Studies on Health and Well-being, Vol. 18, Article 2176278 Continue to DOI
Thérèse Eriksson, Lars-Åke Levin, Ann-Charlotte Nedlund (2023) The introduction of a value-based reimbursement programme - Alignment and resistance among healthcare providers International Journal of Health Planning and Management, Vol. 38, p. 129-148 Continue to DOI