Klasien Horstman
Dados Biográficos
| ID | 155556 |
|---|---|
| NOME | Klasien Horstman |
| PRENOMES | Klasien |
| SOBRENOME | Horstman |
| ASSINATURA | HORSTMAN K |
| AFILIAÇÕES | Maastricht University |
| ORCID | 0000-0003-4048-4110 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 68 |
| TOTAL DE CITAÇÕES | 160 |
| TOTAL COMO AUTOR | 67 |
| TOTAL COMO EDITOR | 1 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1997 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
Do-it-yourself hormones
On the continuum of patient participation between ‘’informed patients’’ and ‘’patients in control’’, DIY pharmaceuticals are considered the most radical because they are produced outside regular medical professional and regulatory contexts. While some see DIY pharmaceuticals as an important contribution to making pharmaceuticals more accessible, others are concerned because they circumvent established procedures for assessing safety and efficacy.…
How health promotion prevents itself from tackling health inequalities. A critical analysis of Dutch health promotion's paradigm through its handbooks (1995–2022)
Health inequalities are a central concern within the field of health promotion. Yet, for over four decades, research has consistently shown that socioeconomic health inequalities in Western Europe persist and, on some measures, even have widened. Explanations are typically sought in the behaviours or personal characteristics of ‘unhealthy populations’ or in neoliberal policies. However, the role that health promotion itself, through its central t…
A discourse analysis of social inequities, gender, and stigma in tuberculosis policies of seven countries from Africa, Asia, Europe and South America
BACKGROUND: Interventions tackling the social aspects of tuberculosis (TB) are widely suggested, yet we miss insights into how policies incorporate these. The language and framing of policies to address TB can lend important insights into how these social drivers are perceived, problematized, and responded to. OBJECTIVE: To understand how discourses in current TB policies frame social dimensions of TB, especially concepts of social inequity, gend…
Citizen Participation in Healthy City Making
Despite a strong participatory discourse on the healthy city movement, researchers and activists indicate that low‐income groups and city areas often are excluded from participatory urban development and do not benefit from healthy city policies. To better understand the challenges that citizens who promote a healthy urban environment in low‐income areas face, we analyzed the infrastructural work of a citizens’ initiative. We focused on their bui…
Bogeymen," "Murderers," and "Loonies
Scientific advice is often solicited in governance, yet it is increasingly challenged in the public domain. Public participation is often suggested to mediate opposing knowledge claims, but it has not resolved crises of expertise and democracy. While Science and Technology Studies (STS) has increasingly focused on emotions in controversies, participation literature remains silent about their role. This study of the Dutch debate on 5G and health, …
Invisible Participation
Scholars have paid much attention to patients' participation in healthcare, such as engagement in activities developed by healthcare providers and involvement in patient activism. Our study draws attention to a type of patient participation that has attracted less academic interest-patients' mundane practices of survival. Bringing together insights from political anthropology, science and technology studies, and the sociology of health, we argue …
Connecting efficiency and responsiveness in China
The COVID-19 (coronavirus disease 2019) pandemic initiated debates on how crisis management affects democracy. In them, the balance between deploying control strategies that limit citizens' freedom and their democratic legitimation features prominently. Informed by theoretical debates about responsive crisis governance, this paper explores how Chinese citizens reacted by quantitatively and qualitatively analysing social media expressions and Chin…
Evidence-based medicine and private clinics in Russia
Critical social science research demonstrates that evidence-based medicine (EBM) emerged through its proponents' deliberate efforts to defend EBM's knowledge production methods as credible and independent of commercial interests. In the present study, we expand this discussion by showing how EBM is co-produced with profit-making within the context of private clinics in Russia. Drawing on the ethnography of three private clinics in Russia, we expl…
To dwell or drown? Private clinics in the swampy infrastructure of cancer care in Russia
European policies for public health in border regions
Though the EU has carefully developed a transnational perspective on health care, the EU has not developed any authority with respect to transnational public health. Though public health and health promotion in border regions have been confronted with specific challenges, neither specific Member States nor the EU have a transnational collaborative perspective that does justice to the characteristics of border regions. When it comes to public heal…
We Know Best Because Our Skin Is in the Game”
In recent years, critical social science scholarship has expanded our understanding of public participation beyond talk‐based and institutionally organised formats, such as citizen juries and focus groups. Building on these insights and relying on digital ethnography, we studied the practices of an online community of transgender activists producing their own hormones to broaden access to hormone replacement therapy (HRT). We argue that they purs…
Making health public
Community Based Participatory Research (CBPR) provides important insights in how to mobilize a community for health promotion. This article explores the possibilities for shifting the frame from community to publics for building new forms of public health engagement in disadvantaged neighbourhoods. We present the results of an ethnographic research project on health and resilience in three low-income neighbourhoods in Maastricht, the Netherlands.…
(Un)belonging at work
Organizations offer activities and programmes to improve their employees’ health. These workplace health promotion (WHP) activities usually have an individualized and top-down focus, a low uptake among employees, and are perceived to be out of line with employees’ experiences and definitions of health. This paper follows up on studies that have broadened the focus of WHP by including social relations and delves deeper into how daily practices and…
Metaphors of foreign strangers
Complex phenomena such as antimicrobial resistance (AMR) are often explained in biomedical sciences by using analogies and metaphors. Metaphors play a crucial role in the knowledge production processes, as well as in ensuring the continuity of scientific models of thought. Novel conceptual metaphors, such as ‘AMR is an apocalypse’ or ‘antibiotics are weapons’ are usually immediately recognised as metaphors. Therefore, they have been scrutinised f…
Patients' work and fluid trajectories
Health policy studies usually conceptualise access to medicines as a result of the institutional configuration of policies, legislation, and pharmaceutical markets. This study adopts a different approach that stems from the sociology of health and Science and Technology Studies (STS). Based on an ethnographically inspired qualitative research of access practices of patients with oncological and rare diseases in Russia, we argue that access to med…
Overcoming the tragedy of urban commons. Collective practices for a healthy city ecology in disadvantaged neighborhoods
This paper provides insight into collective practices for promoting a healthy city ecology in disadvantaged neighborhoods. Using ethnography, we analyze the actions of a citizen collective to improve a park as 'urban commoning' and 'placemaking.' The analysis shows that first, the collective received ambivalent bureaucratic support; second, the open character of space commons enabled collective responsibility and democratic publics, but also made…
Clean Spaces, Community Building, and Urban Stage
Green zones are potential contributors to health by mitigating disparities between low- and high-income neighborhoods. Against the background of different discourses about city parks-parks as restorative environments, parks as enabling places, and parks as sites for encounters between strangers-we ethnographically studied the coproduction of green spaces and health within low-income neighborhoods. We found three competing notions of urban green, …
Clarifying how social epidemiological research constructs the category of low socioeconomic status
Stakeholder perspectives on infant formula safety governance in China
This paper critically engages with dynamics of the Chinese food safety governance infrastructure following the melamine crisis. It presents a qualitative analysis of 16 in-depth stakeholder interviews in Hunan, Hubei, and Henan. We reveal tensions between a segmented model of governance and a centralized model, between a centralized top-down model and stakeholder participation, and between a public model and a private, decentral market where corp…
Caring neighbourhoods
Welfare decentralisations have increased the importance of local neighbourhoods as context for care. As welfare reforms largely rely on increased citizen participation, local infrastructures facilitating participation, especially in disadvantaged neighbourhoods, become a focal point for understanding neighbourhood care. We studied professional and citizen led forms of care in two low-income neighbourhoods in the Netherlands. Our analysis of colle…
Known to be unhealthy
We examine how the category of low socioeconomic status (LSES) was constructed in European social epidemiological research and policy advice from 1977 to 2019. We analysed 22 empirical social epidemiological research publications on LSES and health, as well as six scientific advisory reports that offered government officials an overview of scientific evidence on health inequalities. We show the construction and reification of LSES as a problemati…
Obligatory medical prescription of antibiotics in Russia
Antimicrobial resistance control programmes often aim to 'fix' the behaviour of antibiotic users and prescribers. Such behavioural interventions have been widely criticised in social science literature for being inefficient and too narrow in scope. Drawing on these criticisms, this article analyses how political programmes for fixing antibiotic behaviours were adapted into the practices of health-care professionals and patients in Russia. In 2018…
Section 2
Constructing democratic participation in welfare transitions
OBJECTIVE: This article provides insights into the democratic character of local enactments of welfare reforms by analysing narrative interactions about changes in care. We analyse processes of storytelling that are part of the interactions between citizens giving, receiving and organizing care and the policymakers governing welfare reforms. We also study how narrative interactions shape understandings about changing care practices and what types…
Invisible work, actors, and knowledge
Guidelines, professionals and the production of objectivity
Does the increasing importance of guidelines in health care threaten the professional status of health care professions by reducing their professional autonomy? Or does it increase their position through enhancing their scientific status? In this paper, we focus on this apparent contradiction by studying how Dutch insurance physicians created and used guidelines for the evaluation of labour disability claims. Drawing upon the theoretical repertoi…
Photovoicing the neighbourhood
Ageing-in-place is considered important for the health of older adults. In this paper, inspired by a constructivist approach to ageing-in-place, we unravel professionals' and older adults' constructions of ageing-in-place. Their perspectives are studied in relation to a policy that aims to develop so-called 'lifecycle-robust neighbourhoods' in the southern part of the Netherlands. We conducted a photovoice study in which 18 older adults (70-85 ye…
Making genetics not so important
Understanding the adoption dynamics of medical innovations
Disembodied abilities
Questions regarding 'epistemic injustice' in knowledge-intensive policymaking
Making the normal deviant
Constructing the accountability of food safety as a public problem in China
Incessant food safety scandals in China have given rise to a loss of public trust in food safety, stimulating a series of studies focussing on food safety governance, accountability, and trust restoration. Against this backdrop, Chinese scholars are keen to reflect on different strategies for ensuring food safety public accountability and credibility, presenting different perspectives on issues like responsibility, trust, risk communication, and …
Conflicting notions of citizenship in old age
Genetics, health care, family and kinship in a global perspective
Patients' work and fluid trajectories
Health policy studies usually conceptualise access to medicines as a result of the institutional configuration of policies, legislation, and pharmaceutical markets. This study adopts a different approach that stems from the sociology of health and Science and Technology Studies (STS). Based on an ethnographically inspired qualitative research of access practices of patients with oncological and rare diseases in Russia, we argue that access to med…
Known to be unhealthy
We examine how the category of low socioeconomic status (LSES) was constructed in European social epidemiological research and policy advice from 1977 to 2019. We analysed 22 empirical social epidemiological research publications on LSES and health, as well as six scientific advisory reports that offered government officials an overview of scientific evidence on health inequalities. We show the construction and reification of LSES as a problemati…
The making of new care spaces. How micropublic places mediate inclusion and exclusion in a Dutch city
This paper provides insight into strategies used by social care initiatives to create caring environments for people with a variety of abilities and disabilities. The analysis is guided by the concept of 'micropublic places' and builds on research about changing spaces of care and three types of spatial, symbolic and public-private boundary logics. Using ethnographic methods, we map three hybridization strategies that challenged spatial separatio…
Ethnicity in Dutch health research
Our analysis facilitates the understanding of how specific ethnicities are constructed in this field and provides fruitful insight into the socio-scientific co-production of ethnicity, and specifically into the manner in which common-sense ethnic categories and hierarchies are granted scientific validity through academic publication and, are subsequently, used in clinical guidelines and policy
Co-production of ICT and children at risk
Caring neighbourhoods
Welfare decentralisations have increased the importance of local neighbourhoods as context for care. As welfare reforms largely rely on increased citizen participation, local infrastructures facilitating participation, especially in disadvantaged neighbourhoods, become a focal point for understanding neighbourhood care. We studied professional and citizen led forms of care in two low-income neighbourhoods in the Netherlands. Our analysis of colle…
Complex narratives of health, stigma and control
Constructing a trial as a personal lifestyle change project
Overcoming the tragedy of urban commons. Collective practices for a healthy city ecology in disadvantaged neighborhoods
This paper provides insight into collective practices for promoting a healthy city ecology in disadvantaged neighborhoods. Using ethnography, we analyze the actions of a citizen collective to improve a park as 'urban commoning' and 'placemaking.' The analysis shows that first, the collective received ambivalent bureaucratic support; second, the open character of space commons enabled collective responsibility and democratic publics, but also made…
Clean Spaces, Community Building, and Urban Stage
Green zones are potential contributors to health by mitigating disparities between low- and high-income neighborhoods. Against the background of different discourses about city parks-parks as restorative environments, parks as enabling places, and parks as sites for encounters between strangers-we ethnographically studied the coproduction of green spaces and health within low-income neighborhoods. We found three competing notions of urban green, …
How does an ageing policy translate into professional practices? An analysis of kitchen table conversations in the Netherlands
In the context of the transformation of welfare states into participatory societies, care and welfare professionals are assigned new roles. In the Netherlands, they are tasked with activating and empowering older adults, as well as negotiating customised care. For this purpose, policymakers introduced the kitchen table conversation as a social technology to assess needs and abilities in an informal setting, at home or in public places. The notion…
Meanings of ‘lifecycle robust neighbourhoods’
In Western welfare states, notions of age-friendly communities and ageing-in-place are increasingly important in new health policies. In the Netherlands, care reforms are modifying the former welfare state to be more participatory; local governments are seeking collaborative solutions. Municipalities and housing, care and welfare organisations in the southern part of the country developed the concept of ‘lifecycle robust neighbourhoods’, envision…
Constructing access in predictive medicine. Comparing classification for hereditary breast cancer risks in England, Germany and the Netherlands
Large-scale Research and the Goal of Health
Contemporary science can be characterized by large-scale multi-sited interdisciplinary co-operation. This kind of co-operation is thought necessary for solving complex scientific problems and, by doing so, to reach the social and normative goals of science, for instance, the promotion of public health. In this paper, we present an analysis of a large-scale multi-sited scientific practice questioning the latter assumption. Do the strategies to sol…
Connecting efficiency and responsiveness in China
The COVID-19 (coronavirus disease 2019) pandemic initiated debates on how crisis management affects democracy. In them, the balance between deploying control strategies that limit citizens' freedom and their democratic legitimation features prominently. Informed by theoretical debates about responsive crisis governance, this paper explores how Chinese citizens reacted by quantitatively and qualitatively analysing social media expressions and Chin…
Chemical Analysis of Urine for Life Insurance
Medical expertise plays a major role in large-scale welfare arrangements, for example, in private insurance companies. It symbolizes the objectivity and reliability of the procedures of risk selection and legitimates the acceptance and rejection of clients. To understand "reliability" in this context, this article discusses the introduction of chemical urine analysis for life insurance examination between 1880 and 1920. The article argues that re…
British Society for the History of Science. Report of Council for the year 1996
Objects The primary objective for which the Society is established is to promote and further the study of the history and philosophy of science. Secondary objectives include the provision of facilities, the arrangement of meetings, the promotion of research and the publishing of papers; full details of all the objectives may be found in the Society's Memorandum of Association . Policies The main policy of the Society is to provide the infrastruct…
Crying Whenever Monday Comes
The Dutch Women's Action Committee for Early State Pensions advocated the reduction of the retirement age for unmarried women. In doing this, the committee brought forward an image of older unmarried women that was rather different from the self-images the older unmarried women presented in letters and questionnaires sent to the committee. And the image presented by the committee was again different from the image of older unmarried women that em…
Guidelines, professionals and the production of objectivity
Does the increasing importance of guidelines in health care threaten the professional status of health care professions by reducing their professional autonomy? Or does it increase their position through enhancing their scientific status? In this paper, we focus on this apparent contradiction by studying how Dutch insurance physicians created and used guidelines for the evaluation of labour disability claims. Drawing upon the theoretical repertoi…
Genetics is not the issue’
This article offers an analysis of the way private insurers deal with the issue of genetics and insurance. Drawing on specific written insurance sources, a reconstruction is made of internal debates on genetics and insurance within the private insurance world in Europe and the United States. The article starts by analyzing the way insurers initially framed the issue of genetics. It proceeds by showing how ideas with respect to this issue develope…
Making the normal deviant
Learning from Co-evolution of Policy and Technology. Different PGDs in the Netherlands, Germany and Britain
Approaches in comparative policy analysis have so far focused on the understanding of actors, institutions and their positions in the policy-making process. More recent work attempts to enrich comparative policy analysis by taking the social context and culture into account, in order to do justice to the relevance of policy context for policy content. However, the object or content of policy making has so far largely remained a black box. In this…
Evidence-based underwriting in the molecular age
One of the most contentious topics in public policy debates on genetics has been the use of genetic information by private insurance companies. Confronted with legislation prohibiting the use of genetics in private insurance, the insurance industry has been prompted to deal proactively with the issue. One central feature of this change in tactics is the investment in “evidence-based underwriting”, currently promoted by transnational reinsurance c…
Large-scale Research and the Goal of Health
Contemporary science can be characterized by large-scale multi-sited interdisciplinary co-operation. This kind of co-operation is thought necessary for solving complex scientific problems and, by doing so, to reach the social and normative goals of science, for instance, the promotion of public health. In this paper, we present an analysis of a large-scale multi-sited scientific practice questioning the latter assumption. Do the strategies to sol…
Solidarity in practices of provision
Solidarity is widely described as one of the leading principles for the public provision of health care in Western Europe and is therefore prominently discussed in debates on the introduction of genetic technologies in national health care provision arrangements. However, solidarity is often defined in an essentialist and quantitative way, which does very little to show the complexities of and changes in health care allocation. In this paper we t…
Solidarity matters
status: Published
Constructing access in predictive medicine. Comparing classification for hereditary breast cancer risks in England, Germany and the Netherlands
Making genetics not so important
Genetics, health care, family and kinship in a global perspective
Ethical review
Disembodied abilities
Understanding the adoption dynamics of medical innovations
Constructing a trial as a personal lifestyle change project
Engaging cultural resources to promote mental health in Dutch LSES neighborhoods
Community-based participatory media projects form a promising new strategy for mental health promotion that can help address the mental health-gap identified by the World Health Organization. (2008b) mhGAP, Mental Health Gap Action Programme: Scaling Up Care for Mental, Neurological and Substance Use Disorders. World Health Organization, Geneva. In this article we present an ethnographic study about a participatory media project that was develope…
Shaping the future and living in the present
Ethnicity in Dutch health research
Our analysis facilitates the understanding of how specific ethnicities are constructed in this field and provides fruitful insight into the socio-scientific co-production of ethnicity, and specifically into the manner in which common-sense ethnic categories and hierarchies are granted scientific validity through academic publication and, are subsequently, used in clinical guidelines and policy
Conflicting notions of citizenship in old age
Co-production of ICT and children at risk
International clinical trials, cardiovascular disease and treatment options in the Russian Federation
Bianca in the neighborhood
This article offers a critical analysis of how to address social inequalities in mental health. In public mental health, inequalities are commonly construed as a problem of reach, implying that existing mental health expertise often fails to reach low-income groups. We discuss two critiques on the reach-paradigm' in mental health promotion: the impoverishment of idioms of distress and the tendency to transform complex political issues into clinic…
Political science (53 obras) · Sociology (52 obras) · Medicine (31 obras) · Law (30 obras) · Public relations (29 obras) · Law (25 obras) · Psychology (22 obras) · Politics (18 obras) · Social science (18 obras) · Public health (17 obras)