“…Thus, professionalism works as demarcations between different professions, between professionals and non-professionals (Evetts, 2011), in which the demarcations of (non)professionalism are negotiated. However, professionalism is also affected by societal changes and demands (Hansson & Bjarnason, 2018;Lindberg & Carlsson, 2018;Schnell, 2017), such as new public management (Evetts, 2009) and the digitalization of health care (Hansson & Bjarnason, 2018;Lindberg & Carlsson, 2018). I view VHPs as examples of such processes of demarcation and negotiation of professionalism.…”