Are Institutional Health Policies Exclusionary

Dados Bibliográficos

ID4637792
AutoresNaomi Rebecca Hughes (0000-0001-6160-5191, University of Toronto, Toronto, Ontario, Canada, autor correspondente)
Ano2014
Volume24
Fascículo3
Páginas366-374
Data de publicação2014-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoQualitative Health Research (JOURNAL)
Identificadores do periódicoISSN: 1049-7323 • E-ISSN: 1552-7557
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732314523504
PMID24549411
OpenAlexW2165094803
IdiomaEN
Citações recebidas4
Referências citadas5

I examined the experiences of 27 individuals who frequented a homeless shelter in Toronto, Canada. Participants' personal accounts led to cumulative understandings of the exclusionary practices that are often perpetuated by institutional organizations. Many individuals perceived themselves as "pushed out" or excluded by the structures of health care services that purported to support and serve them. However, individuals were also perceived as active agents in a complex, mutual form of exclusion, referred to as "mutually established exclusion," in which they chose to drop out or remove themselves from institutional mainstream services. Individuals who had chosen not to seek reissuance of their health cards either implicitly or explicitly self-excluded from participation in services that might be seen to regulate, control, and thereby subordinate their interests to those of the dominant institution. I ask, How are institutional health policies evidenced in the everyday, material lives of people? Are such policies exclusionary

Chose · Health care · Health services · Institution · Mainstream · Political science · Public relations · Qualitative research · Sociology · Food Security and Health in Diverse Populations · Geriatric Care and Nursing Homes · Homelessness and Social Issues · Law · Psychology · Social Psychology