TY - JOUR
T1 - Not Breathing Easy
T2 - “Disarticulated Homework” in Asthma Management
AU - Spray, Julie
AU - Carter, Chelsey R.
AU - Waters, Erika A.
AU - Hunleth, Jean M.
N1 - Funding Information:
. Research reported in this publication was supported by funding from the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH), R01HL137680 (MPI: Shepperd and Waters).
Publisher Copyright:
© 2021 by the American Anthropological Association
PY - 2021/6
Y1 - 2021/6
N2 - Recent health policy in the United States encourages an outsourcing of labor from professional practice into domestic spaces, where in theory, medical professionals supply the training, technologies, and guidance needed to discharge responsibility for care to patients or caregivers. Mattingly et al. (2011) term this labor “chronic homework,” describing the relationship between the assigning and undertaking of medical care at the borders of professional and domestic domains. This is a system predicated on relationships between professional and caregiver. However, in our research with families and providers in two U.S. sites, we observed a “disarticulation” of asthma care from professional medicine. Caregivers may undertake routine asthma management with little physician oversight, transforming chronic homework into what we term “disarticulated homework.” We argue that expanding the concept of chronic homework to theorize disarticulation processes can help elucidate how health disparities are reproduced in the gap between medical systems and domestic life. [asthma, self-management, caregiving pharmaceuticalization, health disparities].
AB - Recent health policy in the United States encourages an outsourcing of labor from professional practice into domestic spaces, where in theory, medical professionals supply the training, technologies, and guidance needed to discharge responsibility for care to patients or caregivers. Mattingly et al. (2011) term this labor “chronic homework,” describing the relationship between the assigning and undertaking of medical care at the borders of professional and domestic domains. This is a system predicated on relationships between professional and caregiver. However, in our research with families and providers in two U.S. sites, we observed a “disarticulation” of asthma care from professional medicine. Caregivers may undertake routine asthma management with little physician oversight, transforming chronic homework into what we term “disarticulated homework.” We argue that expanding the concept of chronic homework to theorize disarticulation processes can help elucidate how health disparities are reproduced in the gap between medical systems and domestic life. [asthma, self-management, caregiving pharmaceuticalization, health disparities].
UR - http://www.scopus.com/inward/record.url?scp=85099946748&partnerID=8YFLogxK
U2 - 10.1111/maq.12628
DO - 10.1111/maq.12628
M3 - Article
C2 - 33502761
AN - SCOPUS:85099946748
SN - 0745-5194
VL - 35
SP - 285
EP - 302
JO - Medical Anthropology Quarterly
JF - Medical Anthropology Quarterly
IS - 2
ER -