Civil rights as patient experience: How healthcare organizations handle discrimination complaints.

The nondiscrimination clause of the Affordable Care Act, known as Section 1557, formally expanded patients' civil rights in nearly every healthcare setting in the United States in 2010. Regulations required healthcare organizations to name a person to handle grievances and set up an internal grievan...

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Publicado en:Law & Society Review Vol. 55; no. 2; pp. 273 - 296
Autores principales: Kirkland, Anna, Hyman, Mikell
Formato: Artículo
Publicado: Cambridge University Press Jun2021
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Civil rights as patient experience: How healthcare organizations handle discrimination complaints.
      aug:
        au:
          Kirkland, Anna
          Hyman, Mikell
        affil:
          Department of Women's and Gender Studies, University of Michigan, Ann Arbor Michigan,, USA
          Institute for Research on Women and Gender, University of Michigan, Ann Arbor Michigan,, USA
      su:
        United States
        Patients' rights
        Patients' attitudes
        Consumer complaints
        Patient Protection & Affordable Care Act
        Health insurance exchanges
        Grievance procedures
        Patient experience
      sug:
        subj:
          Patients' rights
          Patients' attitudes
          United States
          Consumer complaints
          Patient Protection & Affordable Care Act
          Health insurance exchanges
          Grievance procedures
          Patient experience
      ab: The nondiscrimination clause of the Affordable Care Act, known as Section 1557, formally expanded patients' civil rights in nearly every healthcare setting in the United States in 2010. Regulations required healthcare organizations to name a person to handle grievances and set up an internal grievance process for resolving them. Drawing on interviews with 58 healthcare grievance handlers, this study examines how healthcare organizations respond to patients' discrimination complaints. We find that organizations incorporated the new right into preexisting complaint and grievance procedures, treating possible patient civil rights violations as patient experience problems. Grievance handlers smooth over problems using customer service strategies. These procedures diminish the efforts of policymakers to expand civil rights protections in healthcare. For civil rights to provoke real organizational change, discrimination complaints would need to be handled by professionals attuned to rights consciousness.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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