Bricolage as conceptual tool for understanding access to healthcare in superdiverse populations
Bricolage as conceptual tool for understanding access to healthcare in superdiverse populations
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DOI：
10.1057/s41285-018-0075-4
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发表时间：
2019-06-01
影响因子：
1.6
通讯作者：
Pemberton, Simon
中科院分区：
文献类型：
--
作者：
Phillimore, Jenny;Bradby, Hannah;Pemberton, Simon
本文首次运用“拼凑”的概念来理解超多样化城市人口的经历及其在整个医疗保健生态系统中获得卫生服务的即兴实践。通过采用医疗保健拼贴的概念和生态系统方法，我们展示了个人在面临获得医疗保健服务的限制时创造性地动员、利用和再利用资源的作用。这些资源包括多种知识、思想、材料和网络。考虑到超多样化人口从定义上看是异质的、多语言的和跨国的，而且往往是在“资源贫乏”的地方，在这些地方，可能需要拼凑来克服这种限制，而主流保健提供者对人口在获得服务方面遇到的挑战了解有限，拼凑的概念特别有用。“拼凑政治”作为自我赋权的新自由主义战略，使福利国家的退出合法化，被批判性地讨论。在制定与研究拼凑实践相关的策略时，明确了拼凑的冲突方面。
This paper applies, for the first time, the concept of bricolage to understand the experiences of superdiverse urban populations and their practices of improvisation in accessing health services across healthcare ecosystems. By adopting the concept of healthcare bricolage and an ecosystem approach, we render visible the agency of individuals as they creatively mobilise, utilise, and re-use resources in the face of constraints on access to healthcare services. Such resources include multiple knowledges, ideas, materials, and networks. The concept of bricolage is particularly useful given that superdiverse populations are by definition heterogeneous, multilingual and transnational, and frequently in localities characterised as 'resource-poor', in which bricolage may be necessary to overcome such constraints, and where mainstream healthcare providers have limited understanding of the challenges that populations experience in accessing services. The 'politics of bricolage' as neoliberal strategies of self-empowerment legitimising the withdrawal of the welfare state are critically discussed. Conflicting aspects of bricolage are made explicit in setting out tactics of relevance to researching the practices of bricolage.