"Unworthy of Care and Treatment": Cultural Devaluation and Structural Constraints to Healthcare-Seeking for Older People in Rural China.


Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
23 03 2020
Historique:
received: 20 02 2020
revised: 18 03 2020
accepted: 19 03 2020
entrez: 27 3 2020
pubmed: 27 3 2020
medline: 3 11 2020
Statut: epublish

Résumé

This paper examines the experiences of seeking healthcare for rural Chinese older people, a population who experiences the multiple threats of socio-economic deprivation, marginalization, and lack of access to medical care, yet have been relatively overlooked within the existing scholarly literature. Based on ethnographical data collected from six-month fieldwork conducted in a rural primary hospital in Southern China, this paper identifies a widespread discouraging, dispiriting attitude regarding healthcare-seeking for rural older members despite the ongoing efforts of institutional reforms with a particular focus on addressing access to health services amongst rural populations. Such an attitude was expressed by older people's families as well as the public in their narratives by devaluing older members' health care demands as "unworthy of care and treatment" ("

Identifiants

pubmed: 32210084
pii: ijerph17062132
doi: 10.3390/ijerph17062132
pmc: PMC7143512
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Xiang Zou (X)

Department of Medical Humanities, Southeast University, Nanjing 211189, China.

Ruth Fitzgerald (R)

Department of Anthropology and Archaeology, University of Otago, Dunedin 9016, New Zealand.

Jing-Bao Nie (JB)

Bioethics Centre, University of Otago, Dunedin 9016, New Zealand.

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Classifications MeSH