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Who cares where the doctors are? The expectation of mobility and its effect on health outcomes

Doctors are typically portrayed as active agents in their work lives. However, this paper argues that this construction of agency ignores the effects of the healthcare structures that constrain choice, which in turn affects population health outcomes. Medical training pathways, regional boundaries,...

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Detalles Bibliográficos
Autores principales: Brewster, Liz, Lambert, Michael, Shelton, Cliff
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545762/
https://www.ncbi.nlm.nih.gov/pubmed/35583963
http://dx.doi.org/10.1111/1467-9566.13480
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author Brewster, Liz
Lambert, Michael
Shelton, Cliff
author_facet Brewster, Liz
Lambert, Michael
Shelton, Cliff
author_sort Brewster, Liz
collection PubMed
description Doctors are typically portrayed as active agents in their work lives. However, this paper argues that this construction of agency ignores the effects of the healthcare structures that constrain choice, which in turn affects population health outcomes. Medical training pathways, regional boundaries, and rationalisation all have a long‐lasting impact on the provision of healthcare. Using a mobilities lens to examine the movement of doctors, this paper examines how the expectation of movement built into training programmes perpetuates unequal access to healthcare. Long waiting times, poor care quality and lack of preventative care all perpetuate health inequalities; as one of the socio‐economic determinants, access to healthcare affects health outcomes.
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spelling pubmed-95457622022-10-14 Who cares where the doctors are? The expectation of mobility and its effect on health outcomes Brewster, Liz Lambert, Michael Shelton, Cliff Sociol Health Illn Original Articles Doctors are typically portrayed as active agents in their work lives. However, this paper argues that this construction of agency ignores the effects of the healthcare structures that constrain choice, which in turn affects population health outcomes. Medical training pathways, regional boundaries, and rationalisation all have a long‐lasting impact on the provision of healthcare. Using a mobilities lens to examine the movement of doctors, this paper examines how the expectation of movement built into training programmes perpetuates unequal access to healthcare. Long waiting times, poor care quality and lack of preventative care all perpetuate health inequalities; as one of the socio‐economic determinants, access to healthcare affects health outcomes. John Wiley and Sons Inc. 2022-05-18 2022-07 /pmc/articles/PMC9545762/ /pubmed/35583963 http://dx.doi.org/10.1111/1467-9566.13480 Text en © 2022 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL (SHIL). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Brewster, Liz
Lambert, Michael
Shelton, Cliff
Who cares where the doctors are? The expectation of mobility and its effect on health outcomes
title Who cares where the doctors are? The expectation of mobility and its effect on health outcomes
title_full Who cares where the doctors are? The expectation of mobility and its effect on health outcomes
title_fullStr Who cares where the doctors are? The expectation of mobility and its effect on health outcomes
title_full_unstemmed Who cares where the doctors are? The expectation of mobility and its effect on health outcomes
title_short Who cares where the doctors are? The expectation of mobility and its effect on health outcomes
title_sort who cares where the doctors are? the expectation of mobility and its effect on health outcomes
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545762/
https://www.ncbi.nlm.nih.gov/pubmed/35583963
http://dx.doi.org/10.1111/1467-9566.13480
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