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‘If there were doctors who could understand our problems, I would already be better’: dissatisfactory health care and marginalisation in superdiverse neighbourhoods
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology. (Welfare and lifecourse)ORCID iD: 0000-0002-0664-1170
Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.
Institute for Research into Superdiversity (IRiS), School of Social Policy, University of Birmingham, Birmingham, UK.
Department of Sociology, University of South Florida, Tampa, USA; Instituto Universitario de Lisboa (ISCTE‐IUL), Lisbon, Portugal.
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2020 (English)In: Sociology of Health and Illness, ISSN 0141-9889, E-ISSN 1467-9566Article in journal (Refereed) Epub ahead of print
Abstract [en]

How people in community settings describe their experience of disappointing health care, and their responses to such dissatisfaction, sheds light on the role of marginalisation and underlines the need for radically responsive service provision. Making the case for studying unprompted accounts of dissatisfaction with healthcare provision, this is an original analysis of 71 semi‐structured interviews with healthcare users in superdiverse neighbourhoods in four European cities. Healthcare users spontaneously express disappointment with services that dismiss their concerns and fail to attend to their priorities. Analysing characteristics of these healthcare users show that no single aspect of marginalisation shapes the expression of disappointment. In response to disappointing health care, users sought out alternative services and to persuade reluctant service providers, and they withdrew from services, in order to access more suitable health care and to achieve personal vindication. Promoting normative quality standards for diverse and diversifying populations that access care from a range of public and private service providers is in tension with prioritising services that are responsive to individual priorities. Without an effort towards radically responsive service provision, the ideal of universal access on the basis of need gives way to normative service provision.

Place, publisher, year, edition, pages
2020.
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Sociology
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URN: urn:nbn:se:uu:diva-403928DOI: 10.1111/1467-9566.13061PubMedID: 32020646OAI: oai:DiVA.org:uu-403928DiVA, id: diva2:1391986
Available from: 2020-02-06 Created: 2020-02-06 Last updated: 2020-02-25Bibliographically approved

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