Triage as an infrastructure of care: The intimate work of redistributing medical care in nursing homes
Sociology of Health and Illness , Volume 43 - Issue 7 p. 1682- 1699
This article explores how professionals in older persons<br/>care work on a triage system in the daily care setting.<br/>We follow how triage is introduced in older persons care<br/>organizations in The Netherlands, to deal with a scarcity<br/>of physicians and distribute care among health workers<br/>in the region. We offer a sociological analysis in which<br/>we use the notion of infrastructure and infrastructural<br/>work to study how professionals work with triage in<br/>the daily care setting. This study is based on a formative<br/>evaluation in which we as researchers both studied<br/>and contributed to the construction of the triage system<br/>by sharing and participating in reflexive infrastructural<br/>work practices. We show how this method enabled to<br/>gradually adjust the triage system to the daily practices<br/>of care delivery, taking the spatial-temporal<br/>setting of<br/>care into account. We argue that triage not only structures<br/>and simplifies but also opens up new ways of re-placing<br/>medical and care work, both professionally and<br/>geographically. As our results reveal, re-placing<br/>physicians<br/>has complex effects above and beyond the efficient<br/>deployment of medical staff. Triage as infrastructure not<br/>only changes the location, but also reconfigures the relationships<br/>physicians have with residents and nurse aids.
|Sociology of Health and Illness|
|Organisation||Erasmus School of Health Policy & Management (ESHPM)|
NJ (Nienke) van Pijkeren, I (Iris) Wallenburg, & RA (Roland) Bal. (2021). Triage as an infrastructure of care: The intimate work of redistributing medical care in nursing homes. Sociology of Health and Illness, 43(7), 1682–1699. doi:10.1111/1467-9566.13353