Bo CARLSSON, ÅKE ISACSSON AND BARBRO SJÖBECK, Obstacles that Prevent Legal Programmes from Functioning as a Learning Process: The Example of Malpractice Claims in the Swedish Health-Care System

Date01 June 1994
DOI10.1177/096466399400300210
Publication Date01 June 1994
SubjectArticles
308
family
in
these
different
fragments
of
law
is
incoherent
and
logically
flawed.
The
impossibility
of
a
rigid
distinction
between
the
interdependent
market
and
family
spheres
is
shown.
RAIMONDO
CATANZARO,
Violent
Social
Regulation:
Organized
Crime
in
the
Italian
South
For
many
years
the
Mafia
problem
in
Southern
Italy
has
been
at
the
centre
of
public
attention.
However,
current
opinion
confuses
two
aspects
of
Mafia
groups’
behaviour,
which
should
instead
be
kept
distinct.
To
use
a
definition
provided
by
Block,
this
is
the
distinction
between
enterprise
syndicate
and
power
syndicate.
The
former
consists
of
control
over
territory,
the
latter
in
entrepreneurial
activity
in
the
illicit
trafficking
sector.
The
Sicilian
Mafia
has
been
historically
characterized
by
the
former
aspect;
and
Mafiosi
have
always
been
subjects
which
can
be
defined
as
entrepreneurs
of
violent
protection.
The
aim
of
competition
among
Mafia
groups
was
to
conquer
portions
of
territory
over
which
to
exercise
social
control.
This
control
was
also
important
because
it
could
be used
to
orientate
voting
behaviour.
With
the
entry
of
the
Sicilian
Mafia
into
the
international
drug
trade,
its
character
as
an
enterprise
syndicate
became
just
as
important
as
the
power
syndicate.
This
has
led
to
increased
tension
between
Mafia
families
competing
for
control
of
territory
and
the
drugs
trade,
and
among
their
protectors
and
political
representatives.
These
conflicts
may
have
helped
the
present
offensive
by
the
Italian
state
against
organized
crime
in
Southern
Italy.
.
,
Bo
CARLSSON,
ÅKE
ISACSSON
AND
BARBRO
SJÖBECK,
Obstacles
that
Prevent
Legal
Programmes from
Functioning as a
Learning
Process:
The
Example
of Malpractice
Claims in
the
Swedish Health-Care
System
The
patient
has
no
explicitly
formulated
rights
in
the
Swedish
health-care
system,
but
legal
programmes
are
intended
to
strengthen
the
patients’
position
by
setting
communication
about
malpractice
claims
in
motion.
The
question
is
whether
procedural
rationality
installs
a
reflexive
learning
process
that
improves
the
medical
treatment
and
reforms
the
structures
of
interaction.
The
purpose
of
this
article
is
to
shed
light
on
different
obstacles
(that
is
the
defects in
the
judicial
process,
the
inertia
of
custom
and
the
professional
culture
of
organization)
in
the
process
of
dealing
with
malpractice
claims,
and
in
the
coupling
of
the
decisions
to
the
actual
everyday
routines
of
care
giving
and
the
assurance
of
quality.

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