Rights statement: This is the peer reviewed version of the following article:Brewster, L., Lambert, M., & Shelton, C. (2022). Who cares where the doctors are? The expectation of mobility and its effect on health outcomes. Sociology of Health & Illness, 44( 7), 1077– 1093. doi: 10.1111/1467-9566.13480 which has been published in final form at https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.13480 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
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Final published version
Licence: CC BY-NC-ND: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Who cares where the doctors are?
T2 - The expectation of mobility and its effect on health outcomes
AU - Brewster, Liz
AU - Lambert, Michael
AU - Shelton, Cliff
N1 - This is the peer reviewed version of the following article:Brewster, L., Lambert, M., & Shelton, C. (2022). Who cares where the doctors are? The expectation of mobility and its effect on health outcomes. Sociology of Health & Illness, 44( 7), 1077– 1093. doi: 10.1111/1467-9566.13480 which has been published in final form at https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.13480 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
PY - 2022/7/31
Y1 - 2022/7/31
N2 - Doctors are typically portrayed as active agents in their work lives. However, this paper argues that this construction of agency ignores the effects of the healthcare structures that constrain choice, which in turn affects population health outcomes. Medical training pathways, regional boundaries, and rationalisation all have a long‐lasting impact on the provision of healthcare. Using a mobilities lens to examine the movement of doctors, this paper examines how the expectation of movement built into training programmes perpetuates unequal access to healthcare. Long waiting times, poor care quality and lack of preventative care all perpetuate health inequalities; as one of the socio‐economic determinants, access to healthcare affects health outcomes.
AB - Doctors are typically portrayed as active agents in their work lives. However, this paper argues that this construction of agency ignores the effects of the healthcare structures that constrain choice, which in turn affects population health outcomes. Medical training pathways, regional boundaries, and rationalisation all have a long‐lasting impact on the provision of healthcare. Using a mobilities lens to examine the movement of doctors, this paper examines how the expectation of movement built into training programmes perpetuates unequal access to healthcare. Long waiting times, poor care quality and lack of preventative care all perpetuate health inequalities; as one of the socio‐economic determinants, access to healthcare affects health outcomes.
KW - health inequalities
KW - medical careers
KW - mobilities
KW - workforce planning
U2 - 10.1111/1467-9566.13480
DO - 10.1111/1467-9566.13480
M3 - Journal article
VL - 44
SP - 1077
EP - 1093
JO - Sociology of Health and Illness
JF - Sociology of Health and Illness
SN - 0141-9889
IS - 7
ER -