If there were doctors who could understand our problems, I would already be better

Dissatisfactory Health Care and Marginalisation in Superdiverse Neighbourhoods

Bibliographic Data

ID2249693
AuthorsHannah Bradby (0000-0002-0664-1170, Sociology Department Uppsala University Uppsala Sweden, corresponding author), A Lindenmeyer (0000-0001-5101-1648, Institute of Clinical Sciences University of Birmingham Birmingham UK), J Phillimore (0000-0003-1213-2302, Institute for Research into Superdiversity (IRiS) School of Social Policy University of Birmingham Birmingham UK), Beatriz Padilla (0000-0002-2359-3369, Department of Sociology University of South Florida Tampa USA), Tyrone Brand (0000-0001-5140-7511, Department Prevention and Evaluation Leibniz Institute for Prevention Research and Epidemiology – BIPS Bremen Germany)
Year2020
Volume42
Issue4
Pages739-757
Publication date2020-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSociology of Health & Illness (JOURNAL)
Journal identifiersISSN: 0141-9889 • E-ISSN: 1467-9566
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13061
PMID32020646
OpenAlexW3004728701
LanguageEN
Citations received17
References cited48

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

Business · Disappointment · Health care · Normative · Political science · Public relations · Service (business · Service provider · Healthcare Policy and Management · Law · Marketing · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Psychology · Social Psychology