Hostname: page-component-76dd75c94c-ccc76 Total loading time: 0 Render date: 2024-04-30T09:03:57.627Z Has data issue: false hasContentIssue false
  • English
  • Français

A Bottom-Up Approach to Understanding Low-Income Patients: Implications for Health-Related Policy

Published online by Cambridge University Press:  01 January 2021

Madhu Viswanathan ,
Ronald Duncan ,
Maria Grigortsuk  and
Arun Sreekumar
Get access Rights & Permissions [Opens in a new window]

Abstract

A bottom-up approach grounded in micro-level understanding of the thinking, feeling, behavioral, and social aspects of living with low income and associated low literacy can lead to greater understanding and improvement of interactions in the health arena. This paper draws on what we have learned about marketplace interactions in subsistence economies to inform innovations in medical education, design and delivery of healthcare for lowincome patients, outreach education, and future micro-level research at the human-healthcare interface.

Type
Symposium 1 Articles
Information
Journal of Law, Medicine & Ethics , Volume 46 , Issue 3: The Medicalization of Poverty; Perspectives of Alzheimer's Disease: Ethical, Legal, and Social Issues , Fall 2018 , pp. 658 - 664
Copyright
Copyright © American Society of Law, Medicine and Ethics 2018

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Viswanathan, M. and Rosa, J.A., “Understanding Subsistence Marketplaces: Toward Sustainable Consumption and Commerce for a Better World,” Journal of Business Research 63, no. 6 (2010): 535-37 (abstract); Viswanathan, M., Bottom-up Enterprise: Insights from Subsistence Marketplaces (M. Viswanathan, 2016); Viswanathan, M., Subsistence Marketplaces (M. Viswanathan, 2013).Google Scholar
Viswanathan, M., Rosa, J. A., and Harris, J. E., “Decision Making and Coping of Functionally Illiterate Consumers and Some Implications for Marketing Management,” Journal of Marketing 69, no. 1 (2005): 15-31.CrossRefGoogle Scholar
World Health Organization, The World Health Report: 1999: Making a Difference (1999); Leon, D.A., Walt, G., and Gilson, L., “Recent Advances: International Perspectives On Health Inequalities And Policy,” BMJ: British Medical Journal 322, no. 7286 (2001): 591-94.Google Scholar
Leon, D. A. and Walt, G., eds., Poverty, Inequality, and Health: An International Perspective (New York: Oxford University Press, 2001), at Chapters 1 - 3.Google Scholar
Braveman, P. and Gottlieb, L., “The Social Determinants of Health: It's Time to Consider the Causes of the Causes,” Public Health Reports 129, Suppl. 2 (2014): 19-31; Fitzpatrick, K.M., ed., Poverty and Health: A Crisis Among America's Most Vulnerable (New York: Praeger, 2013); Raiz, L., “Health Care Poverty,” Journal of Sociology & Social Welfare 33, no. 4 (2006): 87-104.CrossRefGoogle Scholar
Walraven, G., Health and Poverty: Global Health Problems and Solutions (New York: Routledge, 2013).CrossRefGoogle Scholar
D.A. Leon, G. Walt, and L. Gilson, supra note 3; Kumar, A. and Mohanty, S.K.. “State of Child Health among Poor and Non-poor in Urban India,” Genus 67, no. 1 (2011): 1-19.Google Scholar
Evans, G.W. and Schamberg, M. A., “Childhood Poverty, Chronic Stress, and Adult Working Memory,” Proceedings of the National Academy of Sciences 106, no. 16 (2009): 6545-6549. See also <http://news.gallup.com/poll/127532/income-education-levels-combine-predict-health-problems.aspx> (last visited July 11, 2018).CrossRefGoogle Scholar
Tugade, M. M., Fredrickson, B.L., and Barrett, L. F., “Psychological Resilience and Positive Emotional Granularity: Examining the Benefits of Positive Emotions on Coping and Health,” Journal of Personality 72, no. 6 (2004): 1161-1190.CrossRefGoogle Scholar
Billings, A. G. and Moos, R.H., “The Role of Coping Responses and Social Resources in Attenuating the Stress of Life Events,” Journal of Behavioral Medicine 4, no. 2 (1981): 139-157.Google Scholar
Hawkley, L. C., Burleson, M. H., Berntson, G. G., and Cacioppo, J. T., “Loneliness in Everyday Life: Cardiovascular Activity, Psychosocial Context, and Health Behaviors,” Journal of Personality and Social Psychology 85, no. 1 (2003): 105.CrossRefGoogle Scholar
Lim, S. S., Gaziano, T. A., Gakidou, E., Reddy, K.S., Farzadfar, F., Lozano, R., and Rodgers, A., “Prevention of Cardiovascular Disease in High-risk Individuals in Low-income and Middle-income Countries: Health Effects and Costs,” The Lancet 370, no. 9604 (2007): 2054-2062.CrossRefGoogle Scholar
Huber, J. T., Shapiro, R. M., and Gillaspy, M. L., “Top Down versus Bottom Up: The Social Construction of the Health Literacy Movement,” The Library Quarterly: Information, Community, Policy 82, no. 4 (2012): 429-451.Google Scholar
Adkins, N. R. and Corus, C., “Health Literacy for Improved Health Outcomes: Effective Capital in the Marketplace,” The Journal of Consumer Affairs 43, no. 2 (2009): 199-222.CrossRefGoogle Scholar
Cree, A., Kay, A., and Steward, J., “The Economic and Social Cost of Illiteracy: A Snapshot of Illiteracy in a Global Context,” World Literacy Foundation, 2012.Google Scholar
Baker, D. W., “The Meaning and the Measure of Health Literacy,” Journal of General Internal Medicine 21, no. 8 (2006): 878-883.Google Scholar
Parker, R. M., Baker, D. W., Williams, M. V., and Nurss, J. R., “The Test of Functional Health Literacy in Adults,” Journal of General Internal Medicine 10, no. 10 (1995): 537-541; Berkman, N.D., Sheridan, S. L., Donahue, K. E., Halpern, D. J. and Crotty, K., “Low Health Literacy and Health Outcomes: An Updated Systematic Review,” Annals of Internal Medicine 155, no. 2 (2011): 97-107.Google Scholar
Boyer, C. A. and Lutfey, K. E., “Examining Critical Health Policy Issues within and beyond the Clinical Encounter: Patient — Provider Relationships and Help-seeking Behaviors,” Journal of Health and Social Behavior 51 (2010): S80-93.Google Scholar
Cullen, R., “Addressing the Digital Divide,” Online Information Review, 25, no. 5 (2001), 311-320.Google Scholar
Viswanathan, M., Hastak, M. and Gau, R., “Understanding and Facilitating the Usage of Nutritional Labels by Low-Literate Consumers,” Journal of Public Policy & Marketing 28, no. 2 (2009): 135-145; Houts, P. S., Doak, C.C., Doak, L.G., and Loscalzo, M. J., “The Role of Pictures in Improving Health Communication: A Review of Research on Attention, Comprehension, Recall, and Adherence,” Patient Education and Counseling 61, no. 2 (2006): 173-190.CrossRefGoogle Scholar
Norris, R. L., Bailey, R. L., Bolls, P. D. and Wise, Kevin R., “Effects of Emotional Tone and Visual Complexity on Processing Health Information in Prescription Drug Advertising,” Health Communication 27, no. 1 (2012): 42-48.Google Scholar
Luria, A. A., Cognitive Development: Its Cultural and Social Foundations (Cambridge: Harvard University Press, 1982): at Chapters 1-2.Google Scholar
M. Viswanathan, M. Hastak and R. Gau, supra note 19; M. Viswanathan, J. A. Rosa and J. E. Harris, supra note 2.Google Scholar
Saltonstall, R., “Healthy Bodies, Social Bodies: Men's and Women's Concepts and Practices of Health in Everyday Life,” Social science & Medicine 36, no. 1 (1993): 7-14.Google Scholar
Viswanathan, M., Torelli, C. J., Xia, L. and Gau, R., “Understanding the Influence of Literacy on Consumer Memory: The Role of Pictorial Elements,” Journal of Consumer Psychology 19, no. 3 (2009): 389-402.Google Scholar
Viswanathan, M., Rosa, J. A., and Harris, J. E., “Decision Making and Coping of Functionally Illiterate Consumers and Some Implications for Marketing Management,” Journal of Marketing 69, no. 1 (2005): 15-31.Google Scholar
M. Viswanathan, C. J. Torelli, L. Xia, and R. Gau, supra note 25.Google Scholar
Viswanathan, M., Subsistence Marketplaces (ebookpartnerships).Google Scholar
M. Viswanathan, J. A. Rosa, and J. E. Harris, supra note 26.Google Scholar
Viswanathan, M., Sridharan, S., Ritchie, R., Venugopal, S., and Jung, K., “Marketing Interactions in Subsistence Marketplaces: A Bottom-Up Approach to Designing Public Policy,” Journal of Public Policy and Marketing 31, no. 2, (2012): 159-177.CrossRefGoogle Scholar
Id.Google Scholar
Viswanathan, M., Seth, A., Gau, R., and Chaturvedi, A., “Ingraining Product-relevant Social Good into Business Processes in Subsistence Marketplaces: The Sustainable Market Orientation,” Journal of Macromarketing 29, no. 4 (2009): 406-425.Google Scholar
Viswanathan, M., Gajendiran, S., and Venkatesan, R., Enabling Consumer and Entrepreneurial Literacy in Subsistence Marketplaces (Netherlands: Springer Science & Business Media, 2008).CrossRefGoogle Scholar
Viswanathan, M., Gajendiran, S., and Venkatesan, R., Enabling Consumer and Entrepreneurial Literacy in Subsistence Marketplaces (Netherlands: Springer Science & Business Media, 2008).Google Scholar