Why must I wait?' The performance of legitimacy in a hospital emergency department
Bibliographic Data
| ID | 2248797 |
|---|---|
| Authors | A Hillman (0000-0003-1859-1075, Cardiff University, corresponding author) |
| Year | 2014 |
| Volume | 36 |
| Issue | 4 |
| Pages | 485-499 |
| Publication date | 2014-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.12072 |
| PMID | 24053721 |
| OpenAlex | W2009849201 |
| Language | EN |
| Citations received | 40 |
| References cited | 36 |
This article examines the processes of negotiation that occur between patients and medical staff over accessing emergency medical resources. The field extracts are drawn from an ethnographic study of a UK emergency department (ED) in a large, inner city teaching hospital. The article focuses on the triage system for patient prioritisation as the first point of access to the ED. The processes of categorising patients for priority of treatment and care provide staff with the opportunities to maintain control over what defines the ED as a service, as types of work and as particular kinds of patients. Patients and relatives are implicated in this categorical work in the course of interactions with staff as they provide reasons and justifications for their attendance. Their success in legitimising their claim to treatment depends upon self-presentation and identity work that (re)produces individual responsibility as a dominant moral order. The extent to which people attending the ED can successfully perform as legitimate is shown to contribute to their placement into positive or negative staff-constituted patient categories, thus shaping their access to the resources of emergency medicine and their experience of care
Attendance · Business · Computer security · Emergency department · Identity (music · Legitimacy · Medical emergency · Negotiation · Political science · Presentation (obstetrics · Service (business · Sociology · Triage · Vulnerability (computing · Work (physics · Engineering · Healthcare Systems and Challenges · Interpreting and Communication in Healthcare · Medicine · Migration, Health and Trauma · Nursing · Psychology
How Triage Nurses Use Discretion
Credibility work and moral evaluation at the ED
A experiência do adoecimento neurológico não diagnosticado
Personal information and public health
Coordinating First Aid Provision
Vol 6, No 1 (2016)
The Work Undertaken by Patients and Their Families Whilst in the Emergency Department
Communicating decisions about care with patients and companions in emergency department consultations
Emergency department encounters’ impacts on First Nations members, families and communities
The Body Becomes Closed and Squeezed up in a Narrow Frame
Like ticking time bombs. Improvising structural competency to ‘Defuse’ the exploding of violence against emergency care workers in Italy
Psychiatrization in mental health care
Psychosocial meaning making in carceral spaces
The gift in A&E
Institutions of care, moral proximity and demoralisation
Diagnosis of “acopia”
Narratives and gatekeeping
Between dissatisfaction and support
Bugbears in the Waiting Room
Recommending no further treatment
Stigmatisation of those with mental health conditions in the acute general hospital setting. A qualitative framework synthesis
Why this clinic now? A context-sensitive aspect of accounting for visits
Wasting the doctor's time? A video-elicitation interview study with patients in primary care
Temporal typifications as an organizational resource
To be or not to be sick and tired
The remarkable invisibility of NHS 111 online
The costs of care
Triage as an infrastructure of care
Challenging 'colour time
Theorising health professionals' prevention and management practices with children and young people experiencing self-harm
I just don't think it's that natural
Expanding boundaries in psychiatry
Reasonableness
Afterword
Conceptualising 'materialities of care
Disciplinary power and the process of training informal carers on stroke units
Keeping out and getting in
The social practice of rescue
Inside 'bed management
Negotiated Discretion
The Discovery of Grounded Theory
Becoming Participant'
Studies in ethnomethodology
The Presentation of Self in Everyday Life
Ideas of Difference
The individualized society
Innocent Parties" and "Disheartening" Experiences
On the Analysis of Observational Data
Defining and Treating "Problem Patients" in a Hospital Emergency Room
Anguish
Affordability as a discursive accomplishment in a changing National Health Service
Socialising Disease
The Rise of an Ideal
Deviance and Respectability
Utilization of the Hospital Emergency Department
The Dark at the Bottom of the Stairs
Positive ageing, neoliberalism and Australian sociology
Staff and Client Control Strategies in Urban Hospital Emergency Services
Governing the ethical consumer
Paper and people
Attending to patients' stories
When nurse knows best
Normal rubbish
Categorization in accident departments
The Ambulance Journey as an Information Generating Process
Risk, governance and the experience of care
Categorisation and micro-rationing
Governmentality and risk
Openness and Specialisation
Some Contingencies of the Moral Evaluation and Control of Clientele
Psychosomatic subjects and the 'duty to be well'. personal agency within
| Unique citing works | 40 |
|---|---|
| Citations per year | 3,64 |
| Citation span | 2015 - 2026 (12) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 39 |