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Inequality and discrimination in access to urgent care in France Ethnographies of three healthcare structures and their audiences

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  • Morel, Sylvie

Abstract

In the social imagination, there is no wait for a so-called “medical emergency,” because it seems obvious to everyone that “saving lives” is not up for discussion. In the context of such social consensus, it is unthinkable to question access to emergency healthcare through the prism of discrimination and social inequality. Yet these social representations of emergency do not withstand ethnographic inquiry. Several years spent behind the scenes in this world revealed that there do in fact exist social selection practices in the realm of emergency care in France. More specifically, this study shows that medical interests and the interests of both public and private institutions have led to the production of socially differentiated pathways of access to emergency care. The first pathway is through private, for-profit clinics, the second is through public hospitals, a third occurs by “bypassing” the emergency department, and a final one groups the non-governmental social and health assistance structures. In this article, we discuss the specific mechanisms they have for selecting patients, and show how the organization of emergency care in France contributes to reproducing or even aggravating inequalities in health and access to healthcare.

Suggested Citation

  • Morel, Sylvie, 2019. "Inequality and discrimination in access to urgent care in France Ethnographies of three healthcare structures and their audiences," Social Science & Medicine, Elsevier, vol. 232(C), pages 25-32.
    • Handle: RePEc:eee:socmed:v:232:y:2019:i:c:p:25-32
    DOI: 10.1016/j.socscimed.2019.04.028
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    References listed on IDEAS

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    1. Philippe Batifoulier, 2014. "Capital santé. Quand le patient devient client," Post-Print hal-01335674, HAL.
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    Cited by:

    1. Andrea Tortelli & Florence Perquier & Maria Melchior & François Lair & Fabien Encatassamy & Chloé Masson & Hélène K’ourio & Raphaël Gourevitch & Alain Mercuel, 2020. "Mental Health and Service Use of Migrants in Contact with the Public Psychiatry System in Paris," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    2. Voicu, Bogdan & Fărcășanu, Dana & Mustață, Mirela & Deliu, Alexandra & Vișinescu, Iulia, 2023. "Using laws, common sense, and statistical approaches to design indicators for ‘medical desertification’. An application on the Romanian case," Social Science & Medicine, Elsevier, vol. 327(C).
    3. Bagnis, Arianna & Caffo, Ernesto & Cipolli, Carlo & De Palma, Alessandra & Farina, Gabriele & Mattarozzi, Katia, 2020. "Judging health care priority in emergency situations: Patient facial appearance matters," Social Science & Medicine, Elsevier, vol. 260(C).

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