Abstract
This paper aims to contextualise ‘healthcare access and utilisation’ within its wider social circumstances, including structural factors that shape primary healthcare for marginalised groups. Mainstream theories often neglect complexities among the broader social, institutional and cultural milieus that shape primary healthcare utilisation in reality. A blended critical social framework is presented to highlight the recognition and emancipatory intents surrounding person, family, healthcare practice and society. Using the theoretical contributions of Habermas and Honneth, the framework focuses on power relationships, misrecognition/recognition strategies, as well as disempowerment/empowerment dynamics. To enable causal and structural analysis, we draw on the depth ontology of critical realism. The framework is then applied to the case of rural elderly women’s primary healthcare use in Bangladesh. Drawing on the literature, this article illustrates how a blended critical social perspective reveals the overlapping and complex determinants that affect primary healthcare utilisation, before concluding with the importance of situating healthcare access in sociocultural structures.
Subject
Family Practice,Public Health, Environmental and Occupational Health
Reference59 articles.
1. Genetic Cardiovascular Risk Prediction
2. Hamiduzzaman M . The world is not mine: Factors and issues of rural elderly women’s access to modern healthcare services in Bangladesh. Doctoral dissertation, South Australia: Flinders University College of Nursing and Health Sciences, 2018. Available: https://theses.flinders.edu.au/view/a4e08c8f-ae46-4c0b-b7c8-47d54276a448/1
3. Eisenberg L , Kleinman A . The relevance of social science for medicine I. Reidel Publishing Company, 2012.
4. The Burden of Disease and the Changing Task of Medicine
5. Health by association? Social capital, social theory, and the political economy of public health
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