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Discourses Reproducing Gender Inequities in Hospice Palliative Home Care.
Nisha Sutherland1, Catherine Ward-Griffin2, Carol McWilliam2
11 School of Nursing, Lakehead University, Thunder Bay, Ontario, Canada.
Summary
Neoliberal discourses in home hospice care obscure gender inequities by focusing on individual choices and biomedical factors. Critical analysis reveals how these discourses reinforce traditional gender relations, impacting care experiences.
Area of Science:
- Sociology of Health and Illness
- Gender Studies
- Palliative Care Research
Background:
- Home environments are key sites for reproducing gendered attitudes and practices.
- Promoting gender equity in home-based end-of-life care is essential.
- Understanding gender dynamics is crucial for equitable healthcare delivery.
Purpose of the Study:
- To critically analyze gender relations within the sociopolitical context of hospice palliative home care.
- To investigate how gender inequities are perpetuated in home-based end-of-life care settings.
- To examine the interplay of gender, social structures, and healthcare experiences.
Main Methods:
- Employed a critical feminist perspective to examine gender dynamics.
- Utilized ethnographic methods, including in-depth interviews (n=25) and observations (n=9).
- Reviewed relevant documents (n=12) to expose gender inequities.
Main Results:
- Identified institutional discourses (difference, denial, individuality, efficiency) that reproduce gender inequities.
- Neoliberal discourses, while discounting gender, reinforced traditional gender relations.
- Observed how discourses of autonomy and choice masked underlying gendered power imbalances.
Conclusions:
- Neoliberal discourses frame health experiences as individual outcomes, obscuring sociopolitical influences and power relations.
- Healthcare providers and policymakers may overlook gender inequities due to these framing effects.
- A critical perspective is necessary to understand how social structures shape gendered experiences in hospice palliative home care.
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