“…In 2009, the Society for Medical Anthropology President Carolyn Sargent (2009) called on medical anthropologists to "Take a Stand" on national health care policy and health care reform in order to effectively inform policymakers at local, state, and national levels. In 2010, the new Health Care Reform Taskforce was formed "to explore systematic ways for anthropologists who are in positions to track these effects to communicate their findings through channels that can impact policy and practice" (Craddock Lee 2010:27).…”
Critical medical anthropology has extensively critiqued biomedicine's hegemonic structure that places doctors in control of knowledge and power and casts patients as depersonalized recipients of treatment (not care). Yet in the United States, an increase in collaborative models of health care impacts not only the types of providers patients see for care but also how that care is delivered. Under the Patient Protection and Affordable Care Act (ACA), community health centers (CHCs) are at the center of the expansion of accessible and high-value primary health care. It is estimated that CHCs will add 15,000 new providers to their staffs by 2015, and most will be non-physician providers, such as physician assistants (PAs) and nurse practitioners (NPs). In this paper, I seek to understand the role of PAs and NPs in delivering health care to medically underserved populations. In doing so, I explore beyond the provider-patient relationship to include the relationships within collaborative care teams and relationships between the clinic and the community. Analysis of these multiple complex relationships among different types of providers, patients, and communities help us to understand how relationship dynamics and trust influence patient care and outcomes in this type of health care setting.
“…In 2009, the Society for Medical Anthropology President Carolyn Sargent (2009) called on medical anthropologists to "Take a Stand" on national health care policy and health care reform in order to effectively inform policymakers at local, state, and national levels. In 2010, the new Health Care Reform Taskforce was formed "to explore systematic ways for anthropologists who are in positions to track these effects to communicate their findings through channels that can impact policy and practice" (Craddock Lee 2010:27).…”
Critical medical anthropology has extensively critiqued biomedicine's hegemonic structure that places doctors in control of knowledge and power and casts patients as depersonalized recipients of treatment (not care). Yet in the United States, an increase in collaborative models of health care impacts not only the types of providers patients see for care but also how that care is delivered. Under the Patient Protection and Affordable Care Act (ACA), community health centers (CHCs) are at the center of the expansion of accessible and high-value primary health care. It is estimated that CHCs will add 15,000 new providers to their staffs by 2015, and most will be non-physician providers, such as physician assistants (PAs) and nurse practitioners (NPs). In this paper, I seek to understand the role of PAs and NPs in delivering health care to medically underserved populations. In doing so, I explore beyond the provider-patient relationship to include the relationships within collaborative care teams and relationships between the clinic and the community. Analysis of these multiple complex relationships among different types of providers, patients, and communities help us to understand how relationship dynamics and trust influence patient care and outcomes in this type of health care setting.
“…More recently, growing concerns about the Affordable Care Act (ACA) in the United States and the globalization of the health insurance model has led to a revival of research in health systems (Castañeda et al. ; Henry ; Sargent ). This new generation of scholars has advanced the field by continuing to question the promises of “efficient” market‐based medicine through analysis of health insurance's legal underpinnings (Abadia and Oviedo ) and its logics from inside an insurance company (Mulligan , 2014).…”
Section: Medical Anthropology and The Financing Of Carementioning
This article introduces a special issue of Medical Anthropology Quarterly on health insurance and health reform. We begin by reviewing anthropological contributions to the study of financial models for health care and then discuss the unique contributions offered by the articles of this collection. The contributors demonstrate how insurance accentuates--but does not resolve tensions between granting universal access to care and rationing limited resources, between social solidarity and individual responsibility, and between private markets and public goods. Insurance does not have a single meaning, logic, or effect but needs to be viewed in practice, in context, and from multiple vantage points. As the field of insurance studies in the social sciences grows and as health reforms across the globe continue to use insurance to restructure the organization of health care, it is incumbent on medical anthropologists to undertake a renewed and concerted study of health insurance and health systems.
“…L'article que nous publions dans cette rubrique « Point d'Interrogation -les dossiers d'Amades » est le texte du discours qu'elle a prononcé lors du 107ème colloque annuel de l'American Anthropological Association, à San Francisco (Californie), en novembre 2008. Le texte a ensuite été publié dans Medical Anthropology Quaterly en 2009 1 . Elle nous a fait l'amitié de nous autoriser à le traduire et à le publier dans le Bulletin Amades.…”
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