Integrating fundamental cause theory and Bourdieu to explain pathways between socioeconomic status and health: the case of health insurance denials for genetic testing.
Integrating fundamental cause theory and Bourdieu to explain pathways between socioeconomic status and health: the case of health insurance denials for genetic testing.
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DOI：
10.1111/1467-9566.13195
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发表时间：
2021-01
影响因子：
2.9
通讯作者：
Hammad Mrig E
中科院分区：
文献类型：
--
作者：
Hammad Mrig E
基本原因理论（FCT）是最广泛认可和接受的社会科学框架之一，用于研究导致健康不平等的过程。尽管该理论影响广泛，但它在健康差异的实际和应用研究中仍未得到充分利用。本文提出皮埃尔·布迪厄的资本和象征权力理论可以与FCT相结合，以解决后者理论的局限性，使其在健康差异研究中更加有用。这项工作通过对美国健康保险索赔被诊断为乳腺癌的女性基因检测被拒绝的案例研究，说明了 FCT 的理论结构和布迪厄的工作如何阐明并因此加深了我们对社会经济地位与健康之间持久关系的认识。研究结果揭示了在获得医疗保健服务方面发挥作用的多种复杂机制，这对于我们如何思考卫生政策在解决健康差距方面的作用具有重大影响。
Fundamental cause theory (FCT) is among the most widely recognised and accepted social science frameworks used to examine the processes driving health inequalities. Despite the wide influence of the theory, it remains largely underutilised in practical and applied research on health disparities. This paper proposes that Pierre Bourdieu’s theories of capital and symbolic power can be integrated with FCT to address limitations in the latter theory, making it more useful in health disparities research. Using a case-study of U.S. health insurance claim denials for genetic testing among women with a breast cancer diagnosis, this work illustrates how the theoretical constructs of FCT and Bourdieu’s work articulate and consequently, deepens our appreciation for the durable relationship between socioeconomic status and health. Study results reveal the multiple and complex mechanisms that play a role in access to healthcare services, which has significant implications for how we think about the role of health policy in addressing health disparities.
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