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[Healthcare pathway in precariousness: Between determination and individualization]
Sante Publique (Vandoeuvre-Les-Nancy, France)
|December 15, 2018
Summary
Healthcare access for precarious individuals is economically constrained by insurance rules and a culture of deprivation. Subjective experiences of exclusion also deter help-seeking, yet each health journey remains unique.
Area of Science:
- Sociology of health
- Public health
- Healthcare access research
Background:
- Precarious populations face unique challenges in navigating healthcare systems.
- Socioeconomic factors significantly influence health service utilization and outcomes.
Purpose of the Study:
- To analyze the healthcare pathways of precarious individuals.
- To identify determinants affecting healthcare access and experiences.
Main Methods:
- Field study conducted in Northern France and Burgundy (2011-2012).
- Analysis of approximately 40 semi-directed interviews detailing life events and healthcare narratives.
- Exploration of individual, familial, and environmental contexts.
Main Results:
- Economic constraints persist despite complementary health insurance (CMUc, ACS).
- A 'deprivation culture' acquired in childhood impacts adult healthcare-seeking behaviors.
- Experiences of disqualification and symbolic violence lead to avoidance of health and social services.
Conclusions:
- Healthcare pathways are shaped by complex socioeconomic and psychological determinants.
- Despite systemic barriers, individual life stories and contexts create unique healthcare journeys.
- Negotiating personhood is central to the healthcare pathway for precarious individuals.
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