Rehabilitation capital: a new form of capital to understand rehabilitation in a Nordic welfare state*

Rikke Guldager; Ingrid Poulsen; Ingrid Egerod; Lone Lundback Mathiesen; Kristian Larsen

doi:10.1080/14461242.2018.1434808

Rehabilitation capital: a new form of capital to understand rehabilitation in a Nordic welfare state^*

Rikke Guldager^*, Ingrid Poulsen, Ingrid Egerod, Lone Lundback Mathiesen, Kristian Larsen

^*Corresponding author for this work

Department of Clinical Medicine

3 Citations (Scopus)

Abstract

Social, educational and health related equality is an ideal in the Nordic welfare states. However studies have shown that well-positioned patients achieve better treatment and more services, for example time and examinations, than others do. This article examines how patients and relatives mobilise resources in decision-making in a stroke unit. In particular, it focuses on the challenges in optimising the rehabilitation process faced by patients and relatives, and the strategies they use. Data were generated using participant observation and semi-structured interviews. Qualitative content analysis was applied to investigate the patients’ and relatives’ experiences of decision-making. We present a field-specific form of capital: An individual or a family's resources that are valued in the field of rehabilitation as physical, behavioural and cognitively embedded attitudes and practices. Rehabilitation capital consists of four closely interrelated components: Performative Participation (Cognitively Embedded Performance and Self-initiating Activities), Bodily Progression, Institutional Acceptance and Institutional Potential. It is a resource potentially benefitting patients and relatives during inpatient rehabilitation and may provide patients with an advantage, to ensure the best rehabilitation. The possession of Rehabilitation capital (high or low) contributes explanations for unequal practices and treatments at a micro-level in healthcare institutions.

Original language	English
Journal	Health Sociology Review
Volume	27
Issue number	2
Pages (from-to)	199-213
Number of pages	15
ISSN	1446-1242
DOIs	https://doi.org/10.1080/14461242.2018.1434808
Publication status	Published - 2018

Keywords

Bourdieu
inequality
providers
qualitative research
rehabilitation
stroke

Access to Document

10.1080/14461242.2018.1434808

Cite this

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title = "Rehabilitation capital: a new form of capital to understand rehabilitation in a Nordic welfare state*",

abstract = "Social, educational and health related equality is an ideal in the Nordic welfare states. However studies have shown that well-positioned patients achieve better treatment and more services, for example time and examinations, than others do. This article examines how patients and relatives mobilise resources in decision-making in a stroke unit. In particular, it focuses on the challenges in optimising the rehabilitation process faced by patients and relatives, and the strategies they use. Data were generated using participant observation and semi-structured interviews. Qualitative content analysis was applied to investigate the patients{\textquoteright} and relatives{\textquoteright} experiences of decision-making. We present a field-specific form of capital: An individual or a family's resources that are valued in the field of rehabilitation as physical, behavioural and cognitively embedded attitudes and practices. Rehabilitation capital consists of four closely interrelated components: Performative Participation (Cognitively Embedded Performance and Self-initiating Activities), Bodily Progression, Institutional Acceptance and Institutional Potential. It is a resource potentially benefitting patients and relatives during inpatient rehabilitation and may provide patients with an advantage, to ensure the best rehabilitation. The possession of Rehabilitation capital (high or low) contributes explanations for unequal practices and treatments at a micro-level in healthcare institutions.",

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AU - Guldager, Rikke

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AU - Egerod, Ingrid

AU - Mathiesen, Lone Lundback

AU - Larsen, Kristian

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N2 - Social, educational and health related equality is an ideal in the Nordic welfare states. However studies have shown that well-positioned patients achieve better treatment and more services, for example time and examinations, than others do. This article examines how patients and relatives mobilise resources in decision-making in a stroke unit. In particular, it focuses on the challenges in optimising the rehabilitation process faced by patients and relatives, and the strategies they use. Data were generated using participant observation and semi-structured interviews. Qualitative content analysis was applied to investigate the patients’ and relatives’ experiences of decision-making. We present a field-specific form of capital: An individual or a family's resources that are valued in the field of rehabilitation as physical, behavioural and cognitively embedded attitudes and practices. Rehabilitation capital consists of four closely interrelated components: Performative Participation (Cognitively Embedded Performance and Self-initiating Activities), Bodily Progression, Institutional Acceptance and Institutional Potential. It is a resource potentially benefitting patients and relatives during inpatient rehabilitation and may provide patients with an advantage, to ensure the best rehabilitation. The possession of Rehabilitation capital (high or low) contributes explanations for unequal practices and treatments at a micro-level in healthcare institutions.

AB - Social, educational and health related equality is an ideal in the Nordic welfare states. However studies have shown that well-positioned patients achieve better treatment and more services, for example time and examinations, than others do. This article examines how patients and relatives mobilise resources in decision-making in a stroke unit. In particular, it focuses on the challenges in optimising the rehabilitation process faced by patients and relatives, and the strategies they use. Data were generated using participant observation and semi-structured interviews. Qualitative content analysis was applied to investigate the patients’ and relatives’ experiences of decision-making. We present a field-specific form of capital: An individual or a family's resources that are valued in the field of rehabilitation as physical, behavioural and cognitively embedded attitudes and practices. Rehabilitation capital consists of four closely interrelated components: Performative Participation (Cognitively Embedded Performance and Self-initiating Activities), Bodily Progression, Institutional Acceptance and Institutional Potential. It is a resource potentially benefitting patients and relatives during inpatient rehabilitation and may provide patients with an advantage, to ensure the best rehabilitation. The possession of Rehabilitation capital (high or low) contributes explanations for unequal practices and treatments at a micro-level in healthcare institutions.

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