Lecture 6 - National and local, hostile and inclusive

Question 1

How new is the field?

Answer 1

Only set up in 1990s

Is unjust due to social structures hence why it matters as it CAN change and is often unavoidable and solutions are often inexpensive

Question 2

Racial inequality in the NHS - Snowy peaks

What has Kilne Roger 2014 found in his study

Answer 2

“London is a city where 41% of NHS staff, and 45% of the population are from Black and Minority Ethnic backgrounds . . .yet the proportion of London NHS Trust Board members from a BME background is 8%, an even lower number than was found in 2006 (9.6%).”

main point = Undervaluing relevant experience and overseas qualifications - doesn’t translate sometimes - migrants - qualifications aren’t recognised + tokenism???

Question 3

Transnational healing routes

Who did the study on patients racial inequality in the NHS

Finding lack of trust, lack of awareness of health services, and patients recieving a lack of cultural nuance

Answer 3

Towar-Restrepo and Moreno-Leguizamon - 2022

also found people were taking transnational healing routes - using healers in africa as couldn’t find any doctors that had knowledge or understanding

Question 4

Birthplace in the UK stat

Inequality and space

Answer 4

There is a 2 year age gap in life expectancy between north and southern england - up to 9 years between English local neighbourhoods

BAMBRA

Question 5

Theoretical approaches to health inequality

Compositional vs contextual approach

Answer 5

BAMBRA 2022

a compositional view: individual-level factors above wider context
focuses on behaviours (smoking, alcohol, physical activity, diet, drugs), socio-economic characteristics (income, education, occupation), and demographic characteristics (ethnicity, gender).
Argues: ‘poor/ill people result in poor places’.
OR
a contextual approach: wider context above individual-level factors
focuses on economic factors (poverty rates, unemployment rates, wages, and types of work and employment), social factors (child care, transport, food availability), and physical factors (green space, waste facilities, brownfield land, air pollution)

Question 6

Who did this - Theoretical Implications
The article argues that health infrastructures are dynamic sites of identity negotiation, requiring an understanding of vulnerability and agency. It suggests adopting a theoretical lens that integrates the psychical, social, and biological dimensions of the self to understand the intersubjective and agentic dynamics within health infrastructures.

Answer 6

Moreon-Leguizamon and Tovar-Restrepo (2022)