Healthcare choice: Bourdieu's capital, habitus and field

Healthcare choice: Bourdieu's capital, habitus and field
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DOI:
10.1177/0011392115590082
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发表时间:
2015-09-01
期刊:
影响因子:
2
通讯作者:
Short, Stephanie D.
Short, Stephanie D.
中科院分区:
法学3区
文献类型:
--
作者:
Collyer, Fran M.;Willis, Karen F.;Short, Stephanie D.

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促进选择是一个共同的主题,在政策话语和商业营销索赔有关医疗保健。然而,在医疗保健迷宫的多个潜在途径中,医疗保健消费者或患者如何理解和体验选择?在政策背景下,“选择”意味着什么?重要的是,从社会学的角度来看,这种选择是如何在社会上产生和结构化的?在这篇理论文章中,作者认为布迪厄的三个关键,相互关联的概念-资本,惯习和领域-在医疗保健选择的结构的相互作用。这些都是作为理性选择理论的替代品提供的,在理性选择理论中,选择“被不加批判地视为一种基本的善”,并能够为医疗保健系统的问题提供解决方案。作者认为,对医疗保健选择的社会学分析必须更多地考虑选择的领域,以便更好地解释选择的结构。
The promotion of choice is a common theme in both policy discourses and commercial marketing claims about healthcare. However, within the multiple potential pathways of the healthcare maze', how do healthcare consumers' or patients understand and experience choice? What is meant by choice' in the policy context, and, importantly from a sociological perspective, how are such choices socially produced and structured? In this theoretical article, the authors consider the interplay of Bourdieu's three key, interlinked concepts - capital, habitus and field - in the structuring of healthcare choice. These are offered as an alternative to rational choice theory, where choice' is regarded uncritically as a fundamental good' and able to provide a solution to the problems of the healthcare system. The authors argue that sociological analyses of healthcare choice must take greater account of the field' in which choices are made in order to better explain the structuring of choice.