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Deservingness: migration and health in social context

This article brings the social science concept of ‘deservingness’ to bear on clinical cases of transnational migrant patients. Based on the authors’ medical social science research, health delivery practice and clinical work from multiple locations in Africa. Europe and the Americas, the article des...

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Autores principales: Holmes, Seth M, Castañeda, Ernesto, Geeraert, Jeremy, Castaneda, Heide, Probst, Ursula, Zeldes, Nina, Willen, Sarah S, Dibba, Yusupha, Frankfurter, Raphael, Lie, Anne Kveim, Askjer, John Fredrik, Fjeld, Heidi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031028/
https://www.ncbi.nlm.nih.gov/pubmed/33827795
http://dx.doi.org/10.1136/bmjgh-2021-005107
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author Holmes, Seth M
Castañeda, Ernesto
Geeraert, Jeremy
Castaneda, Heide
Probst, Ursula
Zeldes, Nina
Willen, Sarah S
Dibba, Yusupha
Frankfurter, Raphael
Lie, Anne Kveim
Askjer, John Fredrik
Fjeld, Heidi
author_facet Holmes, Seth M
Castañeda, Ernesto
Geeraert, Jeremy
Castaneda, Heide
Probst, Ursula
Zeldes, Nina
Willen, Sarah S
Dibba, Yusupha
Frankfurter, Raphael
Lie, Anne Kveim
Askjer, John Fredrik
Fjeld, Heidi
author_sort Holmes, Seth M
collection PubMed
description This article brings the social science concept of ‘deservingness’ to bear on clinical cases of transnational migrant patients. Based on the authors’ medical social science research, health delivery practice and clinical work from multiple locations in Africa. Europe and the Americas, the article describes three clinical cases in which assumptions of deservingness have significant implications for the morbidity and mortality of migrant patients. The concept of deservingness allows us to maintain a critical awareness of the often unspoken presumptions of which categories of patients are more or less deserving of access to and quality of care, regardless of their formal legal eligibility. Many transnational migrants with ambiguous legal status who rely on public healthcare experience exclusion from care or poor treatment based on notions of deservingness held by health clinic staff, clinicians and health system planners. The article proposes several implications for clinicians, health professional education, policymaking and advocacy. A critical lens on deservingness can help global health professionals, systems and policymakers confront and change entrenched patterns of unequal access to and differential quality of care for migrant patients. In this way, health professionals can work more effectively for global health equity.
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spelling pubmed-80310282021-04-27 Deservingness: migration and health in social context Holmes, Seth M Castañeda, Ernesto Geeraert, Jeremy Castaneda, Heide Probst, Ursula Zeldes, Nina Willen, Sarah S Dibba, Yusupha Frankfurter, Raphael Lie, Anne Kveim Askjer, John Fredrik Fjeld, Heidi BMJ Glob Health Analysis This article brings the social science concept of ‘deservingness’ to bear on clinical cases of transnational migrant patients. Based on the authors’ medical social science research, health delivery practice and clinical work from multiple locations in Africa. Europe and the Americas, the article describes three clinical cases in which assumptions of deservingness have significant implications for the morbidity and mortality of migrant patients. The concept of deservingness allows us to maintain a critical awareness of the often unspoken presumptions of which categories of patients are more or less deserving of access to and quality of care, regardless of their formal legal eligibility. Many transnational migrants with ambiguous legal status who rely on public healthcare experience exclusion from care or poor treatment based on notions of deservingness held by health clinic staff, clinicians and health system planners. The article proposes several implications for clinicians, health professional education, policymaking and advocacy. A critical lens on deservingness can help global health professionals, systems and policymakers confront and change entrenched patterns of unequal access to and differential quality of care for migrant patients. In this way, health professionals can work more effectively for global health equity. BMJ Publishing Group 2021-04-07 /pmc/articles/PMC8031028/ /pubmed/33827795 http://dx.doi.org/10.1136/bmjgh-2021-005107 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Analysis
Holmes, Seth M
Castañeda, Ernesto
Geeraert, Jeremy
Castaneda, Heide
Probst, Ursula
Zeldes, Nina
Willen, Sarah S
Dibba, Yusupha
Frankfurter, Raphael
Lie, Anne Kveim
Askjer, John Fredrik
Fjeld, Heidi
Deservingness: migration and health in social context
title Deservingness: migration and health in social context
title_full Deservingness: migration and health in social context
title_fullStr Deservingness: migration and health in social context
title_full_unstemmed Deservingness: migration and health in social context
title_short Deservingness: migration and health in social context
title_sort deservingness: migration and health in social context
topic Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031028/
https://www.ncbi.nlm.nih.gov/pubmed/33827795
http://dx.doi.org/10.1136/bmjgh-2021-005107
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