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Deservingness: migration and health in social context
Seth M Holmes1,2,3, Ernesto Castañeda4, Jeremy Geeraert5
1Society and Environment, Medical Anthropology, and Public Health, University of California Berkeley, Berkeley, California, USA sethmholmes@berkeley.edu.
BMJ Global Health
|April 8, 2021
Summary
The concept of deservingness impacts transnational migrant health outcomes. Addressing biases in healthcare access and quality is crucial for global health equity.
Area of Science:
- Social Sciences
- Global Health
- Medical Anthropology
Background:
- Transnational migrants often face barriers to healthcare access.
- Assumptions about 'deservingness' can influence care quality and patient outcomes.
- Ambiguous legal status exacerbates healthcare challenges for migrant populations.
Purpose of the Study:
- To explore the impact of 'deservingness' on transnational migrant healthcare.
- To analyze how deservingness influences morbidity and mortality in migrant patients.
- To propose strategies for improving healthcare equity for migrants.
Main Methods:
- Medical social science research.
- Analysis of clinical cases from Africa, Europe, and the Americas.
- Examination of health delivery practices and clinical work.
Main Results:
- Deservingness assumptions significantly affect migrant patient morbidity and mortality.
- Migrants with precarious legal status experience exclusion and poor treatment.
- Unspoken presumptions dictate differential access to and quality of care.
Conclusions:
- A critical lens on deservingness is essential for global health professionals.
- Addressing deservingness biases can mitigate unequal healthcare access and quality.
- Changing entrenched patterns promotes global health equity for migrant patients.
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