Being a patient among other patients: Refugees' political inclusion through the Austrian solidarity‐based healthcare system.

This paper is an empirical study of what solidarity in a Western European healthcare system means today. Drawing upon empirical research on the 2015 refugee cohort's health needs and their health‐seeking behaviour, it unites claims from the literature on solidarity in the fields of migration and hea...

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Publicado en:Bioethics Vol. 37; no. 2; pp. 120 - 130
Autor principal: Spahl, Wanda
Formato: Artículo
Publicado: Wiley-Blackwell Feb2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        10.1111/bioe.13122
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        atl: Being a patient among other patients: Refugees' political inclusion through the Austrian solidarity‐based healthcare system.
      aug:
        au: Spahl, Wanda
        affil: Department of Political Science, University of Vienna, Vienna, Austria
      su:
        Austria
        Health services accessibility
        Medical care
        Emigration & immigration
        Refugees
        Health behavior
        Political participation
        Citizenship
      sug:
        subj:
          Health services accessibility
          Medical care
          Emigration & immigration
          Refugees
          Health behavior
          Political participation
          Citizenship
          Austria
      keyword:
        citizenship
        health
        inclusion
        refugees
        solidarity
        citizenship
        health
        inclusion
        refugees
        solidarity
      ab: This paper is an empirical study of what solidarity in a Western European healthcare system means today. Drawing upon empirical research on the 2015 refugee cohort's health needs and their health‐seeking behaviour, it unites claims from the literature on solidarity in the fields of migration and healthcare. I argue that the Austrian healthcare system not only is an example of 'civic solidarity' in the form of institutionalised obligations to citizens but that it also enacts political forms of solidarity and produces political inclusion for marginalised groups such as refugees. My findings show that being entitled to and accessing services in the healthcare system holds meaning beyond the provision of care: It enables to act autonomously, to build familiar relationships with Austrian institutions, inclusion via the personal electronic health card and to support others in the same solidaristic system. These insights can be used to raise awareness about the inclusional function of healthcare services among practitioners. They also show how solidarity‐based healthcare systems can be a motor for shaping positive relationships between immigrants and the host country, and point to additional modes of solidarity in the context of forced migration next to civil society and nonstate support structures. This paper builds upon ethnographic data that were collected between 2018 and 2020 in Vienna, Austria (observational notes before, during and after medical consultations with refugees; interviews with them; interviews with healthcare practitioners and other care providers).
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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