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Not Breathing Easy

"Disarticulated Homework" in Asthma Management

Bibliographic Data

ID2289020
AuthorsJ Spray (0000-0001-7382-8704, Division of Public Health Sciences Washington University School of Medicine in St. Louis), Chelsey R Carter (0000-0002-9176-4289, Division of Public Health Sciences Washington University School of Medicine in St. Louis), E A Waters (0000-0001-7402-0133, Division of Public Health Sciences Washington University School of Medicine in St. Louis), J Hunleth (0000-0003-4516-4407, Division of Public Health Sciences Washington University School of Medicine in St. Louis, corresponding author)
Year2021
Volume35
Issue2
Pages285-302
Publication date2021-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Anthropology Quarterly (JOURNAL)
Journal identifiersISSN: 0745-5194 • E-ISSN: 1548-1387
PublisherWiley (PUBLISHER • GB)
DOI10.1111/maq.12628
PMID33502761
OpenAlexW3123537680
LanguageEN
Citations received8
References cited33

Recent health policy in the United States encourages an outsourcing of labor from professional practice into domestic spaces, where in theory, medical professionals supply the training, technologies, and guidance needed to discharge responsibility for care to patients or caregivers. Mattingly et al. (2011) term this labor "chronic homework," describing the relationship between the assigning and undertaking of medical care at the borders of professional and domestic domains. This is a system predicated on relationships between professional and caregiver. However, in our research with families and providers in two U.S. sites, we observed a "disarticulation" of asthma care from professional medicine. Caregivers may undertake routine asthma management with little physician oversight, transforming chronic homework into what we term "disarticulated homework." We argue that expanding the concept of chronic homework to theorize disarticulation processes can help elucidate how health disparities are reproduced in the gap between medical systems and domestic life. [asthma, self-management, caregiving pharmaceuticalization, health disparities

Asthma · Business · Disarticulation · Disruptive innovation · Economic growth · Economics · Health care · Outsourcing · Political science · Psychiatry · Public relations · Health, psychology, and well-being · Medicine · Medicine and Dermatology Studies History · Nursing · Psychology · Marketing

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Unique citing works8
Citations per year2
Citation span2022 - 2025 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 8
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