Rising Demand and Distress in Emergency Care

A Sociological Perspective

Inbunden, Engelska, 2026

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Beskrivning

As emergency departments and ambulance services face rising demand, a considerable share of patients present with needs classified as 'non-urgent', generating strain, frustration and moral judgement across care systems.The first of its kind to apply Bourdieusian field theory to emergency care, this book analyses how changing classificatory practices reshape professional boundaries, expectations of care and notions of legitimate urgency. Using an in-depth case study of emergency care services in a German city, the book reveals emergency care as a contested social field in which struggles over meaning, authority and moral worth occur and reproduce institutional inequalities.Moving beyond debates on workload and safety, this book shows how rising demand transforms not only service delivery, but also the social configuration of emergency care.

Produktinformation

Utgivningsdatum:2026-09-04
Mått:156 x 234 x undefined mm
Format:Inbunden
Språk:Engelska
Antal sidor:224
Förlag:Bristol University Press
ISBN:9781447378174

Utforska kategorier

Sociologi inom Samhälle och politik
Socialt arbete och välfärd inom Samhälle och politik
Den medicinska professionen inom Medicin

Mer om författaren

Daniela Krüger is a postdoctoral research assistant in Health Services Research in Emergency and Acute Medicine in the Departments of Emergency Medicine (Campus Charité Mitte and Campus Virchow-Klinikum) at Charité – Universitätsmedizin Berlin.

Innehållsförteckning

IntroductionPart I: Classifying ‘the Emergency’: Moral Economies and Social Diagnoses of Change in Emergency Care1. Beliefs in Unambiguous Categories and Institutional Arrangements2. Providers’ Social Diagnoses for the Patient Increases in Emergency CarePart II: The ‘Chain of Rescue’: Medical Encounters between Low-Acute Patients and Emergency Care Providers3. Hopes and Hierarchies: Patients’ First Step in the Chain of Rescue4. A Sense for Urgency: Providers' Vetting of Low-Acute Patients in the EMS and ED5. Admission or Discharge: ‘It’s Not Bad Enough for the Hospital'Part III: Grappling with Classificatory Change and its Consequences for Patients, Providers, and Planners6. From Frontline Discretion to Institutional Accountability7. Accountable to Patients or Coworkers at the Service Provision Frontline? The Zero-Sum Dilemma of Planners8. The Changing ‘Game' of Emergency Care: Hysteresis and Disillusio at the Service Provision FrontlinesConclusionAppendix