LIMPRINT: A Sociological Perspective on "Chronic Edema".

Authors:
Stuart Nairn
Stuart Nairn
University of Nottingham
United Kingdom
Aimee Aubeeluck
Aimee Aubeeluck
School of Nursing
Urbana | United States
Isabelle Quere
Isabelle Quere
Centre Hospitalier Universitaire
France
Christine Moffatt
Christine Moffatt
Thames Valley University
United Kingdom

Lymphat Res Biol 2019 Apr;17(2):168-172

5 School of Social Sciences, Nottingham Trent University, Nottingham, United Kingdom.

Chronic edema is a condition that is biologically complex, distressing for patients and sociopolitically weak. Like many other complex and chronic conditions, it has a low status within health care. The result is that it has a low priority in health policy and consequently is undervalued and undertreated. While evidence-based practice promotes a hierarchy of evidence, it is also the case that clinical practice is influenced by a hierarchy of social status. These are as much political as they are scientific. This article will provide an explanation for why chronic edema is a low priority. It will do this through a critical review of the literature. We examine this through the theoretical lens of Pierre Bourdieu. The sociology of Bourdieu frames an understanding of power relations through habitus, field, and capital. We will employ these theoretical tools to understand the way that chronic edema is situated within the policy arena. We identify a number of social mechanisms that affect the status of chronic edema, including diagnostic uncertainty, social capital, scientific capital, cultural capital and economic capital. We argue that a whole system approach to care, based on human need rather than unequal power relations, is a prerequisite for the delivery of good health care. The specialty of chronic edema is not a powerless group and we identify some of the ways that the social mechanism that acts as barriers to change, can also be employed to challenge them.

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Source
https://www.liebertpub.com/doi/10.1089/lrb.2018.0082
Publisher Site
http://dx.doi.org/10.1089/lrb.2018.0082DOI Listing
April 2019
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