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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Distinctions, Exclusionary Mediations, and Inequalities: The Reproductive Health Governance of “Difficult Patients”

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Jaciane Milanezi [1]
Total Authors: 1
[1] CEBRAP. IPP - Brasil
Total Affiliations: 1
Document type: Journal article
Source: Dados; v. 67, n. 2 2023-05-12.

ABSTRACT The article examines the way the categorization of patients as “difficult patients” impacts their access to reproductive care in primary healthcare clinics. Using an ethnographic approach, it focuses on three public clinics in Rio de Janeiro and analyzes 57 interviews with health professionals conducted between 2015 and 2017. The analysis draws on intersectional approaches to inequality, reproductive stigmas, and the governance of vulnerable populations to show how the “difficult” label and its semantics, primarily applied to black and poor women who depend on public services, has led to a social differentiation of healthcare users based on reproductive stigmas and service eligibility from an assessment of their behavior. The notion of “difficult” combines with inadequate rules and decision-making by health clinic teams to promote discriminatory experiences through exclusionary mediations in their access to reproductive healthcare. The findings contribute to a better understanding of the way exclusionary bureaucratic mediation transforms distinctions into inequalities. (AU)

FAPESP's process: 19/13877-4 - Moving race and health: the health's governance of international migrants in São Paulo
Grantee:Jaciane Pimentel Milanezi Reinehr
Support Opportunities: Scholarships in Brazil - Post-Doctoral