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Moral economy and moral capital: A new approach to understanding health systems

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  • Bartosch, Patrick
  • Jaye, Chrystal
  • Crampton, Peter

Abstract

Healthcare systems can be considered moral economies in which moral capital in the form of expectations toward norms, values, and virtues are exchanged and traded. Moral capital, as a concept, is an extension of Bourdieu's forms of symbolic, and in particular, cultural capital. This research set out to identify forms of moral capital evident in the accounts of health professionals and patients within the distinctive healthcare systems of Germany, New Zealand, and the Unites States. Here, we provide an overview of 15 forms of moral capital that were identified. An important form of moral capital is equality. The global coronavirus pandemic has illuminated inequalities in healthcare systems across the world. We suggest considering moral capital as a useful tool to reform healthcare systems and make the provision of healthcare a more equitable enterprise.

Suggested Citation

  • Bartosch, Patrick & Jaye, Chrystal & Crampton, Peter, 2024. "Moral economy and moral capital: A new approach to understanding health systems," Social Science & Medicine, Elsevier, vol. 352(C).
  • Handle: RePEc:eee:socmed:v:352:y:2024:i:c:s0277953624004635
    DOI: 10.1016/j.socscimed.2024.117016
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    References listed on IDEAS

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    1. Kapiriri, Lydia & Norheim, Ole Frithjof & Martin, Douglas K., 2007. "Priority setting at the micro-, meso- and macro-levels in Canada, Norway and Uganda," Health Policy, Elsevier, vol. 82(1), pages 78-94, June.
    2. Kass, N.E., 2001. "An ethics framework for public health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1776-1782.
    3. Dorothée Rouzet & Aida Caldera Sánchez & Theodore Renault & Oliver Roehn, 2019. "Fiscal challenges and inclusive growth in ageing societies," OECD Economic Policy Papers 27, OECD Publishing.
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