Bricolage as conceptual tool for understanding access to healthcare in superdiverse populations
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Bricolage as conceptual tool for understanding access to healthcare in superdiverse populations. / Phillimore, Jennifer; Bradby, Hannah; Knecht, Michi; Padilla, Beatriz; Pemberton, Simon.
In: Social Theory and Health, Vol. 17, 01.06.2019, p. 231–252.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Bricolage as conceptual tool for understanding access to healthcare in superdiverse populations
AU - Phillimore, Jennifer
AU - Bradby, Hannah
AU - Knecht, Michi
AU - Padilla, Beatriz
AU - Pemberton, Simon
PY - 2019/6/1
Y1 - 2019/6/1
N2 - This paper applies, for the first time, the concept of bricolage to understand the experiences of superdiverse urban populations and their practices of improvisation in accessing health services across healthcare ecosystems. By using the concept of healthcare bricolage and an ecosystem approach, we render visible the agency of individuals as they creatively mobilise, utilise and re-use resources in the face of constraints on access to healthcare services. Such resources include multiple knowledges, ideas, materials, and networks. The concept of bricolage is particularly useful given that superdiverse populations are by definition heterogeneous, multilingual and transnational, and frequently in localities characterised as ‘resource-poor’, in which bricolage may be necessary to overcome such constraints, and where mainstream healthcare providers have limited understanding of the challenges that populations experience in accessing services. The ‘politics of bricolage’ as neoliberal strategies of self-empowerment legitimizing the withdrawal of the welfare state are critically discussed. Conflicting aspects of bricolage are made explicit in setting out tactics of relevance to researching the practices of bricolage.
AB - This paper applies, for the first time, the concept of bricolage to understand the experiences of superdiverse urban populations and their practices of improvisation in accessing health services across healthcare ecosystems. By using the concept of healthcare bricolage and an ecosystem approach, we render visible the agency of individuals as they creatively mobilise, utilise and re-use resources in the face of constraints on access to healthcare services. Such resources include multiple knowledges, ideas, materials, and networks. The concept of bricolage is particularly useful given that superdiverse populations are by definition heterogeneous, multilingual and transnational, and frequently in localities characterised as ‘resource-poor’, in which bricolage may be necessary to overcome such constraints, and where mainstream healthcare providers have limited understanding of the challenges that populations experience in accessing services. The ‘politics of bricolage’ as neoliberal strategies of self-empowerment legitimizing the withdrawal of the welfare state are critically discussed. Conflicting aspects of bricolage are made explicit in setting out tactics of relevance to researching the practices of bricolage.
KW - bricolage
KW - healthcare
KW - right to health
KW - service users
KW - superdiversity
U2 - 10.1057/s41285-018-0075-4
DO - 10.1057/s41285-018-0075-4
M3 - Article
VL - 17
SP - 231
EP - 252
JO - Social Theory and Health
JF - Social Theory and Health
SN - 1477-8211
ER -