作为不平等机制的时间资本和不一致的时间:一般实践中慢性护理的案例研究
Amanda Paust1, Sofie Rosenlund Lau2, Flemming Bro1
1Research Unit for General Practice, Aarhus, Bartholins Allé 2, 8000 Aarhus C, Denmark; Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark.
Social science & medicine (1982)
|November 2, 2023
概括
社会地位影响患者在医疗保健时间的导航能力,造成健康不平等. 了解时间资本揭示了医疗时间的不匹配如何使患者处于不利地位.
科学领域:
- 公共卫生 公共卫生
- 健康和疾病的社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 健康不平等仍然是一个重大的公共卫生挑战.
- 在社会不平等与医疗保健之间的关系中",时间"的作用未被充分探索.
- 慢性护理患者在医疗保健系统中经常面临复杂的时间需求.
研究的目的:
- 通过时间资本的透视来探索患者的社会地位如何影响他们的医疗治疗.
- 用时间资本的概念分析医疗保健中的社会不平等机制.
- 了解医疗保健中的时间不匹配如何影响多病症和多药症患者.
主要方法:
- 在丹麦的全科医院中,涉及多病症和多药症患者的定性研究.
- 通过采访,观察,非正式对话和医疗记录收集数据.
- 分析使用时间资本的理论框架来研究医疗保健的时间节奏.
主要成果:
- 时间资本,定义为患者管理医疗保健时间节奏的能力,揭示了不平等机制.
- 确定了五个时间不一致的主题:时间表,序列,议程,效率和速度.
- 时间资本的差异,受到社会地位的影响,在医疗治疗中创造或加剧了社会不平等.
结论:
- 医疗治疗中的社会不平等与时间因素密切相关,既有,又有新产生的时间因素.
- 时间资本和时间不平衡的概念为医疗保健体验中的社会不平等提供了有价值的见解.
- 解决时间不匹配对于缓解慢性护理中的健康差异至关重要.
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