Universalism, diversity and norms: gratitude, healthcare and welfare chauvinism
Universalism, diversity and norms: gratitude, healthcare and welfare chauvinism
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DOI：
10.1080/09581596.2018.1522420
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发表时间：
2020-03-14
影响因子：
2.8
通讯作者：
Padilla, Beatriz
中科院分区：
文献类型：
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作者：
Bradby, Hannah;Humphris, Rachel;Padilla, Beatriz
获得全民医疗保健是欧洲福利国家公民的规范期望。作为欧洲不同社区医疗保健比较研究的一部分，我们遇到了描述公共医疗保健系统失败的妇女，以及对该系统的感激之情。欧洲福利国家面临的人口老龄化、可用于医疗保健的资源减少以及全球化移民流的挑战，都与仇外的“福利主义者”试图限制新来者和那些被视为未能做出足够贡献的人获得服务有关。医疗保健系统未能及时和关怀地治疗症状，疼痛和痛苦的故事来自八名非欧洲移民背景的妇女，这是四个欧洲城市（伯明翰，乌普萨拉，里斯本，不莱梅）更广泛的访谈研究的一部分。这些叙述表明，尽管服务不足，但福利提供的一个规范方面-即表达感激-得到了再现。当对移民的福利主义态度符合医疗保健的规范方面时，痛苦可能会因期望感激而加剧。令人遗憾的未满足的医疗保健需求的八名妇女的情况下提出的建议，其他边缘化的医疗保健用户也可能在明显的全民医疗保健系统服务不足。
Access to universal healthcare is a normative expectation of citizens in European welfare states. As part of a comparative study of healthcare in diverse European neighbourhoods, we met women who described failures of the public healthcare system, together with gratitude for that system. Challenges to European welfare states of ageing populations, the retraction of resources available for healthcare, and globalised migration streams have been linked to xenophobic 'welfarist' attempts to restrict access to services for new arrivals and those seen as failing to contribute sufficiently. Stories of healthcare systems' failure to treat symptoms, pain, and suffering in a timely and caring fashion came from eight women of non-European migrant backgrounds as part of a wider interview study in four European cities (Birmingham, Uppsala, Lisbon, Bremen). These accounts suggest that a normative aspect of welfare provision has been reproduced - that is, the expression of gratitude - despite inadequate services. Where welfarist attitudes to migration meet normative aspects of healthcare, suffering may be compounded by an expectation of gratitude. The regrettable unmet healthcare need of the eight women whose cases are presented suggests that other marginalised healthcare users may also be under-served in apparently universal healthcare systems.