Phillimore-et-al_2019_Healthcare bricolage in Europe's superdiverse neighbourhoods_A mixed methods study.pdf 749,25KB
1000 Titel
  • Healthcare bricolage in Europe’s superdiverse neighbourhoods: a mixed methods study
1000 Autor/in
  1. Phillimore, Jennifer |
  2. Brand, Tilman |
  3. Bradby, Hannah |
  4. Padilla, Beatriz |
1000 Erscheinungsjahr 2019
1000 LeibnizOpen
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2019-10-22
1000 Erschienen in
1000 Quellenangabe
  • 19:1325
1000 FRL-Sammlung
1000 Copyrightjahr
  • 2019
1000 Lizenz
1000 Verlagsversion
  • |
  • |
1000 Ergänzendes Material
  • |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • BACKGROUND: Studies of the relationship between diverse populations, healthcare access and health outcomes have been dominated by approaches focusing on ethno-national groups or specific healthcare sectors. Healthcare bricolage conceptualises the processes by which individuals use multiple resources to address health concerns. It is relevant in superdiverse neighbourhoods with complex populations. This paper is original in its application of mixed methods to examine the extent to which, and the reasons why, individuals engage in healthcare bricolage. METHODS: The study utilized a parallel sequential methodology. Eight superdiverse neighbourhoods were selected, two in each of Bremen, Birmingham, Lisbon and Uppsala. Ethnographic research scoping the nature of each healthcare ecosystem was followed by 160 interviews (20 each neighbourhood) with a maximum variation sample of residents undertaken October 2015 to December 2016. Interviewees were asked to recall a health concern and describe actions taken to attempt resolution. Data was coded with a MAXQDA codebook checked for inter-coder reliability. Interview findings enabled identification of five types of bricolage, the nature of healthcare resources utilised and the factors which influenced residents’ tactics. Results were used to design a household survey using new questions and validated epidemiological instruments implemented January to October 2017. Respondents were identified using random address files and interviewed in person or by telephone. Multinomal logistic regressions were used to estimate the effect of changing the values of determinants on the probability of observing an outcome. RESULTS: Age, gender, level of education, migration background and extent of functional limitation were associated with bricolage tactics. Individuals demonstrating high levels of agency were more likely than those with low levels to engage in bricolage. Residents with high levels of trust in physicians were less likely to bricolage than those with lower levels of trust. Levels of health literacy showed no significant effects. CONCLUSIONS: The nature and severity of health concern, trust in physicians and agency shaped residents’ bricolage tactics. The concept of bricolage enabled us to make visible the actions and resources utilised around public healthcare systems that would otherwise remain outwith healthcare access research. Actions were frequently undertaken via networks offering insights into healthcare-seeking behaviour.
1000 Sacherschließung
lokal Healthcare seeking
lokal Bricolage
lokal Trust
lokal Agency
lokal Health literacy
lokal Public healthcare
lokal Superdiversity
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
1000 Label
1000 Förderer
  1. Horizon 2020 |
1000 Fördernummer
  1. 462–14-090
1000 Förderprogramm
  1. Research and Innovation Programme
1000 Dateien
  1. Healthcare bricolage in Europe's superdiverse neighbourhoods_A mixed methods study
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer Horizon 2020 |
    1000 Förderprogramm Research and Innovation Programme
    1000 Fördernummer 462–14-090
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6418520.rdf
1000 Erstellt am 2020-01-14T15:59:58.242+0100
1000 Erstellt von 266
1000 beschreibt frl:6418520
1000 Bearbeitet von 16
1000 Zuletzt bearbeitet Thu Mar 05 07:02:26 CET 2020
1000 Objekt bearb. Thu Mar 05 07:02:26 CET 2020
1000 Vgl. frl:6418520
1000 Oai Id
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1000 Sichtbarkeit Metadaten public
1000 Sichtbarkeit Daten public
1000 Gegenstand von

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