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A Bottom-Up Approach to Understanding Low-Income Patients: Implications for Health-Related Policy
Madhu Viswanathan1, Ronald Duncan1, Maria Grigortsuk1
1Madhu Viswanathan, Ph.D., is the Dianne and Steven N. Miller Centennial Chair in Business, and Founder and Director of the Subsistence Marketplaces Initiative at the Gies College of Business, University of Illinois, Urbana-Champaign, and the Marketplace Literacy Project, Illinois. Ronald Duncan, M.S., is the Associate Director of the Subsistence Marketplaces Initiative at the Gies College of Business, University of Illinois, Urbana-Champaign. Maria Grigortsuk is an undergraduate student at the Gies College of Business, University of Illinois, Urbana-Champaign. Arun Sreekumar is a doctoral candidate at the Gies College of Business, University of Illinois, Urbana-Champaign.
Abstract:
A bottom-up approach grounded in micro-level understanding of the thinking, feeling, behavioral, and social aspects of living with low income and associated low literacy can lead to greater understanding and improvement of interactions in the health arena. This paper draws on what we have learned about marketplace interactions in subsistence economies to inform innovations in medical education, design and delivery of healthcare for lowincome patients, outreach education, and future micro-level research at the human-healthcare interface.
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