Self-care and social class: Unpacking inequities in healthcare access during a healthcare reform.
This article explores the implications of social class for healthcare access and self-care practices among patients with complex multimorbidity in Denmark. Despite universal health coverage, socioeconomic disparities persist in healthcare access. We analyze qualitative data stemming from a summative...
| Publicado en: | Health: An Interdisciplinary Journal for the Social Study of Health, Illness & Medicine Vol. 30; no. 5; pp. 679 - 701 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196688091&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196688091 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13634593 53Z jtl: Health: An Interdisciplinary Journal for the Social Study of Health, Illness & Medicine issn: 13634593 maglogo: Y pubinfo: dt: Sep2026 vid: 30 iid: 5 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 196688091 189696501 196688091 196688091 10.1177/13634593251393746 196688091 ppf: 679 ppct: 22 formats: tig: atl: Self-care and social class: Unpacking inequities in healthcare access during a healthcare reform. aug: au: Aamann, Iben Charlotte Lykke Lundstrøm, Sanne Frølich, Anne Barett, Barbara Ann affil: University College Copenhagen, Denmark sug: subj: Self Care Social Class Psychosocial Factors Health Services Accessibility Health Care Reform Comorbidity Denmark Human Healthcare Disparities Denmark Health Care Delivery, Integrated Referral and Consultation Purposive Sample Interviews Funding Source Qualitative Studies ab: This article explores the implications of social class for healthcare access and self-care practices among patients with complex multimorbidity in Denmark. Despite universal health coverage, socioeconomic disparities persist in healthcare access. We analyze qualitative data stemming from a summative evaluation of a complex intervention to improve integrated care for these patients, which included extended consultations in general practice. Using a sociocultural and psychosocial concept of class, we examine how patients engage with normative ideals of patient behavior and self-care. By highlighting two extreme cases, our findings reveal significant class-based differences in patients' health practices. While the middle-class patient actively engages in his treatment, the lower-class patient struggles with more pressing life issues, relegating chronic illness management to the background. We argue that future healthcare reforms emphasizing differentiated treatment based on increased self-care may inadvertently exacerbate existing inequity. Such insights are crucial for developing equitable healthcare policies that address the complex interplay between social class and access to healthcare. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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