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Organisert legemakt på lånt tid

Institutt for helse og samfunn, Det medisinske fakultet, Universitetet i Oslo

  • Side: 252-262
  • Publisert på Idunn: 2011-09-13
  • Publisert: 2011-09-13

Den tid da fagforeninger skal godkjenne legespesialister er forbi, sa Arbeiderpartiets helseminister Bjarne Håkon Hanssen i 2009. I høst, 1. oktober, overtar staten godkjenningsmyndigheten fra Legeforeningen – som siden 1982 har sertifisert legespesialister med delegert myndighet fra staten, og før dette med selvbestaltet myndighet siden 1919. Forandringens trykk ble for alvor innledet på 1990-tallet.

Medical power on borrowed time

Since the beginning of the 20th century the Norwegian Medical Association has controlled the training and credentialing of medical specialists. In 1982, the specialist regulation was made public, several years after the transferring of the regulation functions from the medical associations to state authorities in other European countries. By reason of its corporate power, expertise, and administrative capacity, the Norwegian Medical Association was, however, formally recognised as a consultative and an administrative agency that included delegated specialist recognition authority. In 1999, after a growing critique of the power of the medical association from academic medicine, political parties, and the government, the medical association lost its role as a consultative agency. In 2009, the parliament decided on the basis of a proposal from the centre-left coalition government that delegated specialist recognition authority should be transferred to the state medical bureaucracy. The decision will be implemented from October 1, 2011, with no room left for the medical association’s administrative prerogatives.

Keywords: Specialist regulation, organised medicine, state.
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