Table 2 Outline of the WPR questions and how they were applied in the analysis

1. What is the problem represented to be in reports focusing on good quality, local health care?

Proposals were identified through multiple readings of the reports. The proposals were then compiled, analyzed, and thematized into candidate problem representations using Q1

2. What assumptions underlie the representations of the problem?

The candidate problem representations were analyzed in relation to previous empirical and conceptual research, guided by Q2 and Q3. This analytical process resulted in the identified problem representations

3. How have these representations of the problem come about (genealogy)?

4. What is left unproblematic in these problem representations? Where are the silences? Can the ‘problem’ be thought of differently?

The identified problem representations were scrutinized and discussed in relation to Q4, resulting in the identification of silences that they might produce