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Temporal capital and unaligned times as inequality mechanisms: A case study of chronic care in general practice

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  • Paust, Amanda
  • Lau, Sofie Rosenlund
  • Bro, Flemming
  • Prior, Anders
  • Mygind, Anna

Abstract

Addressing persistent health inequality is one of the most critical challenges in public health. Structural features of ‘time’ may provide new perspectives on the link between social inequality and time in a healthcare context. Drawing on the case of chronic care in Danish general practice, we aim to use temporal capital as a theoretical frame to unfold how patients' social positions are interlinked with their medical treatment. We followed patients with multimorbidity and polypharmacy in general practice. Data were collected from interviews, observations, informal conversations, and medical records. We used the concept temporal capital to illuminate the mechanism of inequality in healthcare. We suggest understanding temporal capital as patients' abilities and possibilities to understand, navigate, negotiate, and manage the temporal rhythms of healthcare.

Suggested Citation

  • Paust, Amanda & Lau, Sofie Rosenlund & Bro, Flemming & Prior, Anders & Mygind, Anna, 2023. "Temporal capital and unaligned times as inequality mechanisms: A case study of chronic care in general practice," Social Science & Medicine, Elsevier, vol. 338(C).
  • Handle: RePEc:eee:socmed:v:338:y:2023:i:c:s0277953623006949
    DOI: 10.1016/j.socscimed.2023.116337
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    References listed on IDEAS

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    1. Camilla Sortsø & Jørgen Lauridsen & Martha Emneus & Anders Green & Peter Bjødstrup Jensen, 2017. "Socioeconomic inequality of diabetes patients’ health care utilization in Denmark," Health Economics Review, Springer, vol. 7(1), pages 1-22, December.
    2. Laura M. Giurge & Ashley V. Whillans & Colin West, 2020. "Why time poverty matters for individuals, organisations and nations," Nature Human Behaviour, Nature, vol. 4(10), pages 993-1003, October.
    3. Estelle Carde, 2019. "When Social Inequalities Produce “Difficult Patients†: A Qualitative Exploration of Physicians’ Views," SAGE Open, , vol. 9(4), pages 21582440198, December.
    4. Eddy van Doorslaer & Cristina Masseria, 2004. "Income-Related Inequality in the Use of Medical Care in 21 OECD Countries," OECD Health Working Papers 14, OECD Publishing.
    5. Dubbin, Leslie A. & Chang, Jamie Suki & Shim, Janet K., 2013. "Cultural health capital and the interactional dynamics of patient-centered care," Social Science & Medicine, Elsevier, vol. 93(C), pages 113-120.
    6. Aimée Hartford Kvæl, Linda & Gautun, Heidi, 2023. "Social inequality in navigating the healthcare maze: Care trajectories from hospital to home via intermediate care for older people in Norway," Social Science & Medicine, Elsevier, vol. 333(C).
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