Transfer practices during acquired brain injury rehabilitation: a descent in the medical hierarchy

Karin Højbjerg, Ingrid Egerod, Ingrid Poulsen

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    Abstract

    This chapter explores the role of healthcare organizations and their professionals in producing and reproducing inequality in health. Ethnographic fieldwork and interviews were conducted with key professionals involved in transferring patients with acquired brain injury from acute to subacute, and from subacute to stable rehabilitation. Our analytical framework combines Bourdieu’s theory of practice with Abbott’s concepts of jurisdiction. The study revealed a descent in specialization level and financial resources during patient trajectories, as well as changing patterns of decision-making practices affecting transfer. Paradoxically, many resources are available to save patients’ lives during the acute stage, but resources dwindle as the patient approaches long-term rehabilitation, thus perpetuating inequality in healthcare.
    Original languageEnglish
    Title of host publicationNew Dynamics of Disability and Rehabilitation : Interdisciplinary Perspectives
    EditorsIvan Harsløf, Ingrid Poulsen, Kristian Larsen
    Number of pages21
    PublisherPalgrave Macmillan
    Publication dateMay 2019
    Edition1
    Pages251-272
    Chapter11
    ISBN (Print)978-981-13-7345-9
    ISBN (Electronic)978-981-13-7346-6
    DOIs
    Publication statusPublished - May 2019

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