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Temporal capital and unaligned times as inequality mechanisms: A case study of chronic care in general practice

Amanda Paust, Sofie Rosenlund Lau, Flemming Bro, Anders Prior and Anna Mygind

Social Science & Medicine, 2023, vol. 338, issue C

Abstract: Addressing persistent health inequality is one of the most critical challenges in public health. Structural features of ‘time’ may provide new perspectives on the link between social inequality and time in a healthcare context. Drawing on the case of chronic care in Danish general practice, we aim to use temporal capital as a theoretical frame to unfold how patients' social positions are interlinked with their medical treatment. We followed patients with multimorbidity and polypharmacy in general practice. Data were collected from interviews, observations, informal conversations, and medical records. We used the concept temporal capital to illuminate the mechanism of inequality in healthcare. We suggest understanding temporal capital as patients' abilities and possibilities to understand, navigate, negotiate, and manage the temporal rhythms of healthcare.

Keywords: Temporal capital; Temporality; Social inequality; Chronic care; Medical treatment; Qualitative research; General practice; Denmark (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1016/j.socscimed.2023.116337

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