Not Breathing Easy: "Disarticulated Homework" in Asthma Management.
Not Breathing Easy: "Disarticulated Homework" in Asthma Management.
复制标题
呼吸困难：哮喘管理中的“脱节作业”。
DOI：
10.1111/maq.12628
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发表时间：
2021-06
影响因子：
2.2
通讯作者：
Hunleth JM
中科院分区：
文献类型：
--
作者：
Spray J;Carter CR;Waters EA;Hunleth JM
美国最近的卫生政策鼓励将劳动力从专业实践外包到家庭空间，理论上，医疗专业人员提供所需的培训，技术和指导，以履行对患者或护理人员的护理责任。将这种劳动称为"慢性作业"，描述在专业领域和家庭领域的边界上分配和承担医疗护理之间的关系。这是一个以专业人员和照顾者之间的关系为基础的系统。然而，在我们对美国两个地点的家庭和提供者的研究中，我们观察到哮喘护理与专业医学的“脱节”。护理人员可能会在医生很少监督的情况下进行常规的哮喘管理，将慢性家庭作业转变为我们所说的“脱节的家庭作业”。我们认为，扩大慢性家庭作业的概念，理论化的脱节过程，可以帮助阐明如何在医疗系统和家庭生活之间的差距的健康差距再现。[哮喘，自我管理，药物治疗，健康差异]
Recent health policy in the United States encourages an outsourcing of labor from professional practice into domestic spaces, where in theory, medical professionals supply the training, technologies, and guidance needed to discharge responsibility for care to patients or caregivers. term this labor “chronic homework,” describing the relationship between the assigning and undertaking of medical care at the borders of professional and domestic domains. This is a system predicated on relationships between professional and caregiver. However, in our research with families and providers in two U.S. sites, we observed a “disarticulation” of asthma care from professional medicine. Caregivers may undertake routine asthma management with little physician oversight, transforming chronic homework into what we term “disarticulated homework.” We argue that expanding the concept of chronic homework to theorize disarticulation processes can help elucidate how health disparities are reproduced in the gap between medical systems and domestic life. [asthma, self-management, caregiving pharmaceuticalization, health disparities]
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DOI：
10.1016/j.jaci.2014.05.037
发表时间：
2014-09
期刊：
The Journal of allergy and clinical immunology
影响因子：
--
作者：
Akinbami LJ;Moorman JE;Simon AE;Schoendorf KC
通讯作者：
Schoendorf KC
影响因子：
4.8
作者：
Maantay, Juliana
通讯作者：
Maantay, Juliana
影响因子：
5.4
作者：
Harris, Kelly M.
通讯作者：
Harris, Kelly M.
影响因子：
168.9
作者：
Guarnieri, Michael;Balmes, John R.
通讯作者：
Balmes, John R.
影响因子：
2.2
作者：
Hunleth, Jean
通讯作者：
Hunleth, Jean