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03818aam a2200445 i 4500 001 58778E0C8E9811EAB83BD64B97128E48 003 SILO 005 20200505011818 008 190829s2020 cau b 001 0 eng 010 $a 2019038564 020 $a 0520305620 020 $a 9780520305625 020 $a 0520305612 020 $a 9780520305618 035 $a (OCoLC)1119978789 040 $a CU-S/DLC $b eng $e rda $c DLC $d OCLCO $d BDX $d YDX $d OCLCF $d XOJ $d YDX $d OCLCO $d UKMGB $d SILO 042 $a pcc 043 $a n-us--- 050 00 $a RA448.5.N4 $b R38 2020 060 4 $a W 76 082 00 $a 362.509173/2 $2 23 100 1 $a Raudenbush, Danielle T., $d 1980- $e author. 245 10 $a Health care off the books : $b poverty, illness, and strategies for survival in urban America / $c Danielle T. Raudenbush. 264 1 $a Oakland, California : $b University of California Press, $c [2020] 300 $a xiii, 196 pages ; $c 23 cm 504 $a Includes bibliographical references and index. 505 0 $a Introduction : Health care access in America and the formal-informal hybrid health care system -- Access to care in Jackson Homes -- Sick, poor, and without care : Individual responses to barriers and the emergence of a hybrid system -- "On the poor side of things" : The role of the local community in the hybrid system -- The doctor is in : Physicians in the hybrid system -- After the Affordable Care Act -- Conclusion. 520 $a "Low-income African Americans in the United States face a fundamental tension when it comes to health care. Members of this group have higher rates of illness and disease compared to other groups and, at the same time, are more likely to face obstacles to accessing health care. Health Care Off the Books examines this tension, asking what people belonging to this group do when they have health problems but are unable to obtain health services. Drawing on a qualitative case study of an urban African American public housing development, Danielle T. Raudenbush reveals that health care for some low-income people is different from common scholarly and public conceptions. It is not simply that members of this group forgo health care or rely on safety-net facilities like community clinics and public hospitals, as is often assumed. Instead, some low-income people and some of the doctors that work with them transform the nature of health care delivery and co-construct an informal-formal hybrid health care system. In this system, health-related resources that originate in places like hospitals and clinics are distributed informally through people's social ties, including resources like pharmaceutical drugs, medical equipment, and insurance cards. This hybrid system is shaped by important neighborhood and interpersonal processes and becomes integral to how some people manage their health problems. While the health care strategies described in the book may at times be beneficial, they also have the potential to negatively affect people's health"-- $c Provided by publisher. 650 0 $a African Americans $x Medical care $z United States $v Case studies. 650 0 $a Urban poor $x Medical care $z United States $v Case studies. 650 2 $a Health Services Accessibility. 650 7 $a African Americans $x Medical care. $2 fast $0 (OCoLC)fst00799638 650 7 $a Urban poor $x Medical care. $2 fast $0 (OCoLC)fst01162526 651 7 $a United States. $2 fast $0 (OCoLC)fst01204155 655 7 $a Case studies. $2 fast $0 (OCoLC)fst01423765 776 08 $i Online version: $a Raudenbush, Danielle T., 1980- $t Health care off the books $d Oakland, California : University of California Press, [2020] $z 9780520973602 $w (DLC) 2019038565 941 $a 1 952 $l USUX851 $d 20200505015817.0 956 $a http://locator.silo.lib.ia.us/search.cgi?index_0=id&term_0=58778E0C8E9811EAB83BD64B97128E48 994 $a 92 $b IWAInitiate Another SILO Locator Search