Access to rehabilitation : patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective
Background: Long-term musculoskeletal pain is common, particularly among women. Pain conditions are a concern in primary health care, and people with severe and complex pain are referred to specialty health care. There is gender bias in access, counselling, assessment, and treatment of long-term pai...
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Umeå universitet, Socialmedicin
2016
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ftumeauniv:oai:DiVA.org:umu-124847 2023-10-09T21:54:38+02:00 Access to rehabilitation : patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective Wiklund, Maria Fjellman-Wiklund, Anncristine Stålnacke, Britt-Marie Hammarström, Anne Lehti, Arja 2016 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-124847 https://doi.org/10.3402/gha.v9.31542 eng eng Umeå universitet, Socialmedicin Umeå universitet, Fysioterapi Umeå universitet, Umeå centrum för genusstudier (UCGS) Umeå universitet, Rehabiliteringsmedicin Umeå universitet, Professionell utveckling Global Health Action, 1654-9716, 2016, 9, http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-124847 doi:10.3402/gha.v9.31542 PMID 28156868 ISI:000395813700001 Scopus 2-s2.0-85063931718 info:eu-repo/semantics/openAccess chronic pain treatment of pain multimodal rehabilitation gender bias equity in health intersectionality qualitative interviews Sweden smärta rehabilitering jämlik vård genus genusbias intersektionalitet kvalitativ metod intervjuer Sverige Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Physiotherapy Sjukgymnastik Article in journal info:eu-repo/semantics/article text 2016 ftumeauniv https://doi.org/10.3402/gha.v9.31542 2023-09-22T13:58:21Z Background: Long-term musculoskeletal pain is common, particularly among women. Pain conditions are a concern in primary health care, and people with severe and complex pain are referred to specialty health care. There is gender bias in access, counselling, assessment, and treatment of long-term pain. Objective: This study explores patient accounts and perceptions about important (social) factors for accessing specialised pain rehabilitation from gender and intersectional equality perspectives. We aimed to identify potential biases and inequalities in accessing rehabilitation resources at a specialised rehabilitation clinic. Design: Individual semi-structured interviews were conducted with 10 adults after an assessment or completion of a specialised rehabilitation programme in northern Sweden. Qualitative content analysis was used to explore patients’ perceptions of important factors for accessing rehabilitation. Results: One main theme was formulated as Access to rehab – not a given. Three categories of perceived inequality were demonstrated: power of gender, power of social status, and power of diagnosis. Participants perceived rehabilitation as a resource that is not equally available, but dependent on factors such as gender, socio-economic status, ability to work, ethnicity, or age, and more subtle aspects of social status and habitus (e.g. appearance, fitness, and weight). The character of diagnosis received (medical versus psychiatric or social) was also noted. Conclusions: It is crucial that professionals are aware of how potential inequalities related to gender, social status, and diagnosis, and their intersections, can be created, perceived, and have influence on the processes of assessment and treatment. Reduction of social determinants of health and biases remain important within global, national, and local contexts. This paper is part of the Special Issue: Gender and Health Inequality - intersections with other relevant axes of oppression. Jämlik vård Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Global Health Action 9 1 31542 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
chronic pain treatment of pain multimodal rehabilitation gender bias equity in health intersectionality qualitative interviews Sweden smärta rehabilitering jämlik vård genus genusbias intersektionalitet kvalitativ metod intervjuer Sverige Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Physiotherapy Sjukgymnastik |
spellingShingle |
chronic pain treatment of pain multimodal rehabilitation gender bias equity in health intersectionality qualitative interviews Sweden smärta rehabilitering jämlik vård genus genusbias intersektionalitet kvalitativ metod intervjuer Sverige Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Physiotherapy Sjukgymnastik Wiklund, Maria Fjellman-Wiklund, Anncristine Stålnacke, Britt-Marie Hammarström, Anne Lehti, Arja Access to rehabilitation : patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective |
topic_facet |
chronic pain treatment of pain multimodal rehabilitation gender bias equity in health intersectionality qualitative interviews Sweden smärta rehabilitering jämlik vård genus genusbias intersektionalitet kvalitativ metod intervjuer Sverige Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Physiotherapy Sjukgymnastik |
description |
Background: Long-term musculoskeletal pain is common, particularly among women. Pain conditions are a concern in primary health care, and people with severe and complex pain are referred to specialty health care. There is gender bias in access, counselling, assessment, and treatment of long-term pain. Objective: This study explores patient accounts and perceptions about important (social) factors for accessing specialised pain rehabilitation from gender and intersectional equality perspectives. We aimed to identify potential biases and inequalities in accessing rehabilitation resources at a specialised rehabilitation clinic. Design: Individual semi-structured interviews were conducted with 10 adults after an assessment or completion of a specialised rehabilitation programme in northern Sweden. Qualitative content analysis was used to explore patients’ perceptions of important factors for accessing rehabilitation. Results: One main theme was formulated as Access to rehab – not a given. Three categories of perceived inequality were demonstrated: power of gender, power of social status, and power of diagnosis. Participants perceived rehabilitation as a resource that is not equally available, but dependent on factors such as gender, socio-economic status, ability to work, ethnicity, or age, and more subtle aspects of social status and habitus (e.g. appearance, fitness, and weight). The character of diagnosis received (medical versus psychiatric or social) was also noted. Conclusions: It is crucial that professionals are aware of how potential inequalities related to gender, social status, and diagnosis, and their intersections, can be created, perceived, and have influence on the processes of assessment and treatment. Reduction of social determinants of health and biases remain important within global, national, and local contexts. This paper is part of the Special Issue: Gender and Health Inequality - intersections with other relevant axes of oppression. Jämlik vård |
format |
Article in Journal/Newspaper |
author |
Wiklund, Maria Fjellman-Wiklund, Anncristine Stålnacke, Britt-Marie Hammarström, Anne Lehti, Arja |
author_facet |
Wiklund, Maria Fjellman-Wiklund, Anncristine Stålnacke, Britt-Marie Hammarström, Anne Lehti, Arja |
author_sort |
Wiklund, Maria |
title |
Access to rehabilitation : patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective |
title_short |
Access to rehabilitation : patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective |
title_full |
Access to rehabilitation : patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective |
title_fullStr |
Access to rehabilitation : patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective |
title_full_unstemmed |
Access to rehabilitation : patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective |
title_sort |
access to rehabilitation : patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective |
publisher |
Umeå universitet, Socialmedicin |
publishDate |
2016 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-124847 https://doi.org/10.3402/gha.v9.31542 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Global Health Action, 1654-9716, 2016, 9, http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-124847 doi:10.3402/gha.v9.31542 PMID 28156868 ISI:000395813700001 Scopus 2-s2.0-85063931718 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.3402/gha.v9.31542 |
container_title |
Global Health Action |
container_volume |
9 |
container_issue |
1 |
container_start_page |
31542 |
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1779318293138505728 |