"Housing Is Health Care": Treating Homelessness in Safety-net Hospitals.

Title"Housing Is Health Care": Treating Homelessness in Safety-net Hospitals.
Publication TypeJournal Article
Year of Publication2022
AuthorsHanssmann, C, Shim, JK, Yen, IH, Fleming, MD, Van Natta, M, Thompson-Lastad, A, Rasidjan, MPalupy, Burke, NJ
JournalMed Anthropol Q
Volume36
Issue1
Pagination44-63
Date Published2022 Mar
ISSN0745-5194
KeywordsAnthropology, Medical, Health Personnel, Housing, Humans, Ill-Housed Persons, Safety-net Providers
Abstract

As medicine integrates social and structural determinants into health care, some health workers redefine housing as medical treatment. This article discusses how health workers in two U.S. urban safety-net hospitals worked with patients without stable housing. We observed ethnographically how health workers helped patients seek housing in a sharply stratified housing economy. Analyzing in-depth interviews and observations, we show how health workers: (1) understood housing as health care and navigated limits of individual care in a structurally produced housing crisis; and (2) developed and enacted practices of biomedical and sociopolitical stabilization, including eligibilizing and data-tracking work. We discuss how health workers bridged individually focused techniques of clinical care with structural critiques of stratified housing economies despite contradictions in this approach. Finally, we analyze the implications of providers' extension of medical stabilization into social, economic, and political realms, even as they remained caught in the structural dynamics they sought to address.

DOI10.1111/maq.12665
Alternate JournalMed Anthropol Q
PubMed ID34762740
PubMed Central IDPMC8973441
Grant ListF31 AT008747 / AT / NCCIH NIH HHS / United States
K12 HD052163 / HD / NICHD NIH HHS / United States
R01 NR015233 / NR / NINR NIH HHS / United States