5.3.5

Inequalities in Access 2

Test yourself

Social Class and Access to Healthcare

Inequalities in access to healthcare concern themselves with whether or not people have equal opportunity to make use of the services they require and need or whether some are less effective than others in getting their need met.

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Causes of inequality

  • Those in poorer social classes access healthcare less, relative to their needs, than those in higher social classes.
  • Those in poorer social classes are less likely to own their own transport, resulting in added time required to get to hospitals or GP surgery’s.
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Causes of inequality cont.

  • Because there are fewer GP’s in poorer areas, people living in these areas have to wait longer for appointments.
  • Some people from poorer social classes may find it more difficult to take time off to attend appointments.
  • While wealthier people might be able to afford private healthcare, poorer groups have to rely on solely on the NHS.
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Quality of healthcare

  • Middle class people might get a better quality of healthcare than working class patients due to higher levels of cultural capital.
  • The middle-class are generally better educated, know more about illness and understand better how to prevent it, as well as a better understanding of how the healthcare system works and how to access it.
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Accessing quality healthcare

  • The middle-class are generally more self-confident, effective and assertive with doctors and other health professionals.
  • The middle-class are more likely to be able to effectively express their health needs and describe their symptoms, resulting in a more accurate diagnosis and effective treatment.
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Accessing quality healthcare 2

  • The middle-class are more likely to demand and get longer consultations with the doctor, ask more questions and get a more detailed explanation about their illness.
  • The middle-class are more likely to be able to persuade doctors to refer them to specialist consultants.
  • The middle-class are more likely to fight against inadequate medical services and use complaint procedures.

Gender and Access to Healthcare

Inequalities in access to healthcare concern themselves with whether or not people have equal opportunity to make use of the services they require and need or whether some are less effective than others in getting their need met.

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Women

  • Women access healthcare more than men.
  • Women’s socialisation encourages them to take better care of themselves.
  • Women are more willing to report physical and mental health problems to their GP.
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Female socialisation

  • Women are generally the managers of family health matters, that is, they are usually the ones who take the children to see the doctor and generally concern themselves with family health matters.
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Men

  • Men are less likely to access healthcare than women.
  • Men have a greater fear of consulting doctors.
  • Men are more likely to believe that healthcare services have less to offer them, especially in regards to mental health.
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Male socialisation

  • Masculine identities often mean that men see help-seeking as emasculating.
  • Gender socialisation means that men are less open and willing to discuss their health problems.

Ethnicity and Access to Healthcare

Inequalities in access to healthcare concern themselves with whether or not people have equal opportunity to make use of the services they require and need or whether some are less effective than others in getting their need met.

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Education

  • Ethnic minorities are less likely than other groups to access healthcare for a number of reasons.
  • Poorer levels of education and social marginalisation means that they may not be aware of, or understand how to take advantage of, the healthcare services available.
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Language

  • Language, communication and culture differences may result in poorer levels of engagement and understanding between ethnic minority patients and healthcare staff.
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Cultural diversity

  • Lack of cultural diversity in the healthcare workforce might mean that patients are unable to see a healthcare professional who speaks their language or understands their culture, leading to lower levels of empathy and less patient satisfaction.
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Stigma

  • Stigma and lack of trust.
  • For example in the Roma and traveller community, discrimination and harassment have led to a fear and distrust of authority.

Jump to other topics

1Theory & Methods

1.1Sociological Theories

1.1.1Marxism

1.1.2Feminism

1.1.3Social Action Theories

1.2Sociological Methods

1.2.1Types of Data

1.2.2Positivism & Interpretivism

1.2.3Research Design

1.2.4Research Considerations

1.2.5Values in Research

1.2.6Modernity & Post-Modernity

1.2.7Sociology as a Science

1.2.8Sociology & Social Policy

1.2.9End of Topic Test - Sociology Methods & Theories

1.3Sources of Data

1.3.1Introduction

1.3.2Experiments

1.3.3Surveys

1.3.4Longitudinal Studies

1.3.5Questionnaires

1.3.6Types of Questionnaires

1.3.7Interviews

1.3.8Observation

1.3.9Case Studies

1.3.10Documents

1.3.11Official Statistics

1.3.12End of Topic Test - Sources of Data

2Education with Methods in Context

2.1Role & Function of the Education System

2.1.1Introduction

2.1.2Functionalist Theories

2.1.3Marxist & Feminist Theories

2.1.4The New Right

2.2Educational Achievement

2.2.1Social Class: Internal Factors

2.2.2Social Class: External Factors

2.2.3Social Class: Attitudes to Education

2.2.4Social Class: Difference in Achievement

2.2.5Gender

2.2.6Ethnicity

2.3Relationships & Processes Within Schools

2.3.1Processes

2.3.2Labelling

2.3.3Categorisations

2.3.4Student Experience

2.3.5End of Topic Test -Education with Methods

2.4Educational Policies

2.4.1Equality

2.4.2Privatisation

2.4.3Marketisation

2.4.4Government Policies by Party

2.4.5Globalisation

2.4.6End of Topic Test- Educational Policies

2.4.7Practice Exam Question - Social Policies

3Option 1: Culture & Identity

3.1Conceptions of Culture

3.1.1Culture

3.1.2Mass Culture

3.1.3Popular Culture

3.1.4Global Culture

3.1.5End of Topic Test - Culture and Identity

3.2Identity & Socialisation

3.2.1Identities

3.2.2Socialisation

3.2.3Secondary Socialisation

3.2.4Theories of Socialisation

3.2.5End of Topic Test - Identity

3.2.6Practice Exam Question - Socialisation & Equality

3.3Social Identity

3.3.1Social Class

3.3.2Upper & Middle Class

3.3.3Working & Underclass

3.3.4Social Class Evaluation

3.3.5Gender

3.3.6Changing Gender Identities

3.3.7Ethnicity

3.3.8Age

3.3.9Disability

3.3.10Nationality

3.3.11End of Topic Test - Social Identity

3.4Production, Consumption & Globalisation

3.4.1Production & Consumption

3.4.2Globalisation

3.4.3Evaluation

3.4.4End of Topic Test - Production

4Option 1: Families & Households

4.1Families & Households

4.1.1Definitions

4.1.2Functionalist & New Right Perspectives

4.1.3Marxist & Feminist Perspectives

4.1.4Postmodernist Perspective

4.1.5End of Topic Test - Families & Households

4.1.6Practice Exam Question - Function of Family

4.2Changing Patterns

4.2.1Marriage

4.2.2Divorce

4.2.3LAT Relationships

4.2.4Child-Bearing

4.2.5Lone Parenthood

4.2.6Diversity

4.2.7The Sociology of Personal Life

4.2.8Government Policies Post-WW2

4.2.9End of Topic Test - Changing Patterns

4.3The Symmetrical Family

4.3.1The Symmetrical Family

4.3.2Evaluation

4.4Children & Childhood

4.4.1Childhood

4.4.2Childhood in the UK

4.4.3Childhood as a Social Construct

4.4.4The Disappearance of Childhood

4.4.5Child Abuse

4.4.6Domestic Violence

4.4.7End of Topic Test - Family & Childhood

4.5Demographic Trends UK

4.5.1Introduction

4.5.2Birth Rates

4.5.3Death Rates

4.5.4The Ageing Population

4.5.5Studies on the Ageing Population

4.5.6Migration

4.5.7Globalisation

4.5.8End of Topic Test - Demographics UK

5Option 1: Health

5.1Social Constructions

5.1.1The Body

5.1.2Health, Illness & Disease

5.1.3Disability

5.1.4Models of Health & Illness

5.1.5End of Topic Test - Social Constructions

5.2Social Distribution of Healthcare

5.2.1Social Class

5.2.2Gender

5.2.3Ethnicity

5.2.4Regional

5.3Provision & Access to Healthcare

5.3.1The NHS

5.3.2Inequalities in Provision

5.3.3Sociological Explanations

5.3.4Inequalities in Access

5.3.5Inequalities in Access 2

5.3.6End of Topic Test - Distribution Health

5.4Mental Health

5.4.1The Biomedical Approach

5.4.2Social Patterns

5.4.3Social Constructionist Approach

5.5The Globalised Health Industry

5.5.1The Functionalist Approach

5.5.2The Postmodernist Approach

5.5.3The Globalised Health Industry

5.5.4End of Topic Test - Mental Health & Globalisation

6Option 1: Work, Poverty & Welfare

6.1Poverty & Wealth

6.1.1Types of Poverty

6.1.2Types of Poverty 2

6.1.3Distribution of Wealth UK

6.1.4Sociological Theories

6.1.5Sociological Theories 2

6.1.6Distribution of Poverty UK

6.1.7End of Topic Test - Poverty & Wealth

6.2Welfare

6.2.1The Welfare State

6.2.2Theoretical Approaches to Welfare

6.3Labour Process

6.3.1Nature of Work

6.3.2Technology & Control

6.3.3Work & Life

6.3.4The Effects of Globalisation

6.3.5Globalisation & Worklessness

6.3.6End of Topic Test - Welfare & Labour

7Option 2: Beliefs in Society

7.1Ideology, Science & Religion

7.1.1Types of Religion

7.1.2Ideology & Belief Systems

7.1.3Social Stability & Religion

7.1.4Social Change & Religion

7.1.5End of Topic Test - Ideology, Science & Religion

7.2Religious Movements

7.2.1Religious Organisations

7.2.2New Religious Movements

7.2.3New Age Movements

7.2.4Practice Exam Question - Growth of NRMs

7.3Society & Religion

7.3.1Social Groups & Religion

7.3.2Gender & Religion

7.3.3End of Topic Test- Religious Movements & Society

7.4Contemporary Religion

7.4.1Secularisation UK

7.4.2Against Secularisation

7.4.3Secularisation US

7.4.4Fundamentalism

7.4.5Economic Development & Religion

7.4.6End of Topic - Contemporary Religion

8Option 2: Global Development

8.1Development, Underdevelopment & Global Inequality

8.1.1Development

8.1.2Underdevelopment & Global Inequality

8.2Globalisation & Global Organisations

8.2.1Globalisation

8.2.2Transnational Corporations & International Agency

8.2.3Non-Governmental Organisations (NGOs)

8.3Aid, Trade, Industrialisation, Urbanisation

8.3.1Development: Aid & Trade

8.3.2Development: Industrialisation & Urbanisation

8.3.3Development: Environment & War

9Option 2: The Media

9.1Contemporary Media

9.1.1New Media

9.1.2Control of the Media

9.1.3Sociological Approaches: New Media

9.1.4Globalisation

9.1.5News Selection

9.1.6Moral Panics

9.1.7End of Topic Test - Contemporary Media

9.2Media Representations

9.2.1Age

9.2.2Social Class & Ethnicity

9.2.3Gender

9.2.4Sexuality & Disability

9.2.5Practice Exam Questions - Presentation of Women

9.3Audiences

9.3.1Media Theories

9.3.2Media Theories 2

9.3.3Media Representations & Audiences

10Crime & Deviance

10.1Crime & Society

10.1.1Functionalism

10.1.2Subcultural Theory

10.1.3Marxism

10.1.4Realism

10.1.5Other Approaches

10.1.6End of Topic Test - Crime & Society

10.1.7Practice Exam Questions - Social Construction

10.2Social Distribution of Crime

10.2.1Ethnicity

10.2.2Gender

10.2.3Globalisation & Crime

10.2.4Media & Crime

10.2.5Types of Crimes

10.2.6End of Topic Test - Social Distribution of Crime

10.3Prevention & Punishment

10.3.1Surveillance

10.3.2Prevention

10.3.3Punishment

10.3.4Victimology

10.3.5End of Topic Test - Prevention & Punishment

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Inequalities in Access

End of Topic Test - Distribution Health