Self-care and social class
Unpacking inequities in healthcare access during a healthcare reform
Dados Bibliográficos
| ID | 19472619 |
|---|---|
| Autores | Iben Charlotte Aamann (0000-0001-7578-5568, University College Copenhagen, autor correspondente), Sanne Lykke Lundstrøm (0000-0001-6284-8478, Bispebjerg and Frederiksberg Hospital, Denmark), Anne Frølich (Slagelse Hospital), Barbara Ann Barett (Slagelse Hospital) |
| Ano | 2025 |
| Páginas | 13634593251393746-13634593251393746 |
| Data de publicação | 2025-11-30 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Identificadores do periódico | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Editora | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/13634593251393746 |
| PMID | 41320974 |
| OpenAlex | W4416842288 |
| Idioma | EN |
| Referências citadas | 32 |
This article explores the implications of social class for healthcare access and self-care practices among patients with complex multimorbidity in Denmark. Despite universal health coverage, socioeconomic disparities persist in healthcare access. We analyze qualitative data stemming from a summative evaluation of a complex intervention to improve integrated care for these patients, which included extended consultations in general practice. Using a sociocultural and psychosocial concept of class, we examine how patients engage with normative ideals of patient behavior and self-care. By highlighting two extreme cases, our findings reveal significant class-based differences in patients’ health practices. While the middle-class patient actively engages in his treatment, the lower-class patient struggles with more pressing life issues, relegating chronic illness management to the background. We argue that future healthcare reforms emphasizing differentiated treatment based on increased self-care may inadvertently exacerbate existing inequity. Such insights are crucial for developing equitable healthcare policies that address the complex interplay between social class and access to healthcare
Health care · Health equity · Normative · Psychosocial · Qualitative research · Social class · Social determinants of health · Sociocultural evolution · Socioeconomic status · Chronic Disease Management Strategies · Diabetes Management and Education · Primary Care and Health Outcomes
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| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |