NDLI: Acceptable Care? Illness Constructions, Healthworlds, and Accessible Chronic Treatment in South Africa

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Acceptable Care? Illness Constructions, Healthworlds, and Accessible Chronic Treatment in South Africa

Content Provider	PubMed Central
Author	Fried, Jana Harris, Bronwyn Eyles, John Mosa, Moshabela
Copyright Year	2015
Abstract	Achieving equitable access to health care is an important policy goal, with access influenced by affordability, availability, and acceptability of specific services. We explore patient narratives from a 5-year program of research on health care access to examine relationships between social constructions of illness and the acceptability of health services in the context of tuberculosis treatment and antiretroviral therapy in South Africa. Acceptability of services seems particularly important to the meanings patients attach to illness and care, whereas—conversely—these constructions appear to influence what constitutes acceptability and hence affect access to care. We highlight the underestimated role of individually, socially, and politically constructed healthworlds; traditional and biomedical beliefs; and social support networks. Suggested policy implications for improving acceptability and hence overall health care access include abandoning patronizing approaches to care and refocusing from treating “disease” to responding to “illness” by acknowledging and incorporating patients’ healthworlds in patient–provider interactions.
Related Links	http://dx.doi.org/10.1177/1049732315575315
Ending Page	635
Page Count	14
Starting Page	622
File Format	PDF
ISSN	10497323
e-ISSN	15527557
Journal	Qualitative Health Research
Issue Number	5
Volume Number	25
Language	English
Publisher	SAGE Publications
Publisher Date	2015-05-01
Access Restriction	Open
Rights Holder	SAGE Publications
Subject Keyword	Public Health, Environmental and Occupational Health Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health

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