Bound between care and control : Institutional contradictions and daily practices of healthcare for migrants in an irregular situation in Italy

Perna, Roberta

doi:10.1080/01419870.2018.1533645

Article (Scientific journals)

Bound between care and control : Institutional contradictions and daily practices of healthcare for migrants in an irregular situation in Italy

Perna, Roberta

2019 • In Ethnic and Racial Studies, 42 (12), p. 2103-2122

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https://hdl.handle.net/2268/266666

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10.1080/01419870.2018.1533645

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Keywords :

migration; healthcare; institutions; street-level bureaucrats; hostile environment; Italy

Abstract :

[en] On the books, the inclusiveness of the Italian framework regulating healthcare access for migrants is indisputable. However, we might wonder how access takes shape on the front-line of the healthcare system, particularly in times of increasingly hostile institutional and discursive environments. By focusing on Italian migration and healthcare policies and the practices of health workers during their encounters with migrants in an irregular situation, this contribution analyses how health workers deal with institutional tensions in the field and how these, in turn, shape their narratives and actions. It suggests that individual positioning plays a major role in favouring the adoption of discretional practices of care or control. Nonetheless, practices are also mediated by the wider institutional and discursive landscape, which has been exponentially characterized by a tension between a medical-humanitarian logic that legitimates providing healthcare to vulnerable migrants, and a control-oriented logic targeting immigration and health expenditure.

Disciplines :

Sociology & social sciences

Author, co-author :

Perna, Roberta ; Forum of International and European Research on Immigration – FIERI

Language :

English

Title :

Bound between care and control : Institutional contradictions and daily practices of healthcare for migrants in an irregular situation in Italy

Publication date :

2019

Journal title :

Ethnic and Racial Studies

ISSN :

0141-9870

eISSN :

1466-4356

Publisher :

Routledge, United Kingdom

Volume :

Issue :

Pages :

2103-2122

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 05 January 2022

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