Not Breathing Easy

"Disarticulated Homework" in Asthma Management

Dados Bibliográficos

ID2289020
AutoresJ 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, autor correspondente)
Ano2021
Volume35
Fascículo2
Páginas285-302
Data de publicação2021-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMedical Anthropology Quarterly (JOURNAL)
Identificadores do periódicoISSN: 0745-5194 • E-ISSN: 1548-1387
EditoraWiley (PUBLISHER • GB)
DOI10.1111/maq.12628
PMID33502761
OpenAlexW3123537680
IdiomaEN
Citações recebidas8
Referências citadas33

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

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