Literature DB >> 34762740

"Housing Is Health Care": Treating Homelessness in Safety-net Hospitals.

Christoph Hanssmann1, Janet K Shim2, Irene H Yen3, Mark D Fleming4, Meredith Van Natta5, Ariana Thompson-Lastad6, Maryani Palupy Rasidjan7, Nancy J Burke3.   

Abstract

As medicine integrates social and structural determinants into health care, some health workers redefine housing as medical treatment. This article discusses how health workers in two U.S. urban safety-net hospitals worked with patients without stable housing. We observed ethnographically how health workers helped patients seek housing in a sharply stratified housing economy. Analyzing in-depth interviews and observations, we show how health workers: (1) understood housing as health care and navigated limits of individual care in a structurally produced housing crisis; and (2) developed and enacted practices of biomedical and sociopolitical stabilization, including eligibilizing and data-tracking work. We discuss how health workers bridged individually focused techniques of clinical care with structural critiques of stratified housing economies despite contradictions in this approach. Finally, we analyze the implications of providers' extension of medical stabilization into social, economic, and political realms, even as they remained caught in the structural dynamics they sought to address.
© 2021 by the American Anthropological Association.

Entities:  

Keywords:  homelessness; hospitals; housing; inequity; marginalized populations

Mesh:

Year:  2021        PMID: 34762740      PMCID: PMC8973441          DOI: 10.1111/maq.12665

Source DB:  PubMed          Journal:  Med Anthropol Q        ISSN: 0745-5194


  27 in total

1.  Medicalizing homelessness: the production of self-blame and self-governing within homeless shelters.

Authors:  V Lyon-Callo
Journal:  Med Anthropol Q       Date:  2000-09

2.  Social issues as public health: promise and peril.

Authors:  I H Meyer; S Schwartz
Journal:  Am J Public Health       Date:  2000-08       Impact factor: 9.308

3.  Housing is health care.

Authors:  Mindy Thompson Fullilove
Journal:  Am J Prev Med       Date:  2010-12       Impact factor: 5.043

4.  Beyond border health: Infrastructural violence and the health of border abolition.

Authors:  Sam B Dubal; Shamsher S Samra; Hannah H Janeway
Journal:  Soc Sci Med       Date:  2021-04-28       Impact factor: 4.634

Review 5.  Assessing Patient Activation among High-Need, High-Cost Patients in Urban Safety Net Care Settings.

Authors:  Tessa M Napoles; Nancy J Burke; Janet K Shim; Elizabeth Davis; David Moskowitz; Irene H Yen
Journal:  J Urban Health       Date:  2017-12       Impact factor: 3.671

6.  The New Homelessness Revisited.

Authors:  Barrett A Lee; Kimberly A Tyler; James D Wright
Journal:  Annu Rev Sociol       Date:  2010-08-01

7.  Homeless shelter context and tuberculosis illness experiences during a large outbreak in Atlanta, Georgia.

Authors:  W J Connors; S A Hussen; D P Holland; O Mohamed; K L Andes; N D Goswami
Journal:  Public Health Action       Date:  2017-09-21

Review 8.  Structural competency: theorizing a new medical engagement with stigma and inequality.

Authors:  Jonathan M Metzl; Helena Hansen
Journal:  Soc Sci Med       Date:  2014-02       Impact factor: 4.634

9.  Social conditions of becoming homelessness: qualitative analysis of life stories of homeless peoples.

Authors:  Mzwandile A Mabhala; Asmait Yohannes; Mariska Griffith
Journal:  Int J Equity Health       Date:  2017-08-22

10.  Racial Capitalism: A Fundamental Cause of Novel Coronavirus (COVID-19) Pandemic Inequities in the United States.

Authors:  Whitney N Laster Pirtle
Journal:  Health Educ Behav       Date:  2020-04-26
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  1 in total

1.  Managing the "hot spots": Health care, policing, and the governance of poverty in the US.

Authors:  Mark D Fleming; Janet K Shim; Irene Yen; Leslie Dubbin; Ariana Thompson-Lastad; Christoph Hanssmann; Nancy J Burke
Journal:  Am Ethnol       Date:  2021-11-07
  1 in total

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