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Acceptable Care? Illness Constructions, Healthworlds, and Accessible Chronic Treatment in South Africa
| Content Provider | SAGE Publishing |
|---|---|
| Author | Fried, Jana Harris, Bronwyn Eyles, John Moshabela, Mosa |
| 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 | https://journals.sagepub.com/doi/pdf/10.1177/1049732315575315?download=true |
| Starting Page | 622 |
| Ending Page | 635 |
| Page Count | 14 |
| ISSN | 10497323 |
| Issue Number | 5 |
| Volume Number | 25 |
| Journal | Qualitative Health Research (QHR) |
| e-ISSN | 15527557 |
| DOI | 10.1177/1049732315575315 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2015-03-31 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2015 |
| Subject Keyword | Africa, South illness and disease, social construction social constructionism health care, access to illness and disease, infectious HIV/AIDS relationships, patient–provider health care illness and disease, chronic research, qualitative tuberculosis (TB) health care, users’ experiences interviews, semistructured |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health |
