What Reasoning Do Frontline Professionals Use Around Citizen‐Clients' Socioeconomic Status: Exploring the Mechanisms

ABSTRACT This paper examines socioeconomic status (SES) as an indicator for decision‐making among frontline professionals in healthcare, focusing on general practitioners (GPs). Aside from research on stereotypes, we know little about how frontline professionals reason about SES in decision‐making. This study addresses this gap by investigating how GPs use SES to develop care for patients with varying SES backgrounds. Based on qualitative interviews, the study identifies three SES reasonings that are closely intertwined with the status of patients: (1) status preservation reasoning describes how GPs interpret SES cues and status stability in relation to what needs to be preserved, (2) social distance reasoning helps explain how social distance creates a reference point when helping the patient, and (3) together reasoning describes how GPs use patients' busyness and educational level to develop treatment plans together with the patient. This study contributes to the existing literature by distinguishing SES reasonings in frontline professionals' decision‐making.

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Publication Details

Journal
Public Administration
Published
2025-04-24
DOI
https://doi.org/10.1111/padm.13065
Primary Topic
Community Health and Development
Type
article
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article

What Reasoning Do Frontline Professionals Use Around Citizen‐Clients' Socioeconomic Status: Exploring the Mechanisms

Sandra Groeneveld, Nadine Raaphorst, Fia van Heteren, Jet Bussemaker
Public Administration
Community Health and Development
article

What Reasoning Do Frontline Professionals Use Around Citizen‐Clients' Socioeconomic Status: Exploring the Mechanisms

Sandra Groeneveld, Nadine Raaphorst, Fia van Heteren, Jet Bussemaker
article en

Abstract

ABSTRACT This paper examines socioeconomic status (SES) as an indicator for decision‐making among frontline professionals in healthcare, focusing on general practitioners (GPs). Aside from research on stereotypes, we know little about how frontline professionals reason about SES in decision‐making. This study addresses this gap by investigating how GPs use SES to develop care for patients with varying SES backgrounds. Based on qualitative interviews, the study identifies three SES reasonings that are closely intertwined with the status of patients: (1) status preservation reasoning describes how GPs interpret SES cues and status stability in relation to what needs to be preserved, (2) social distance reasoning helps explain how social distance creates a reference point when helping the patient, and (3) together reasoning describes how GPs use patients' busyness and educational level to develop treatment plans together with the patient. This study contributes to the existing literature by distinguishing SES reasonings in frontline professionals' decision‐making.

Public AdministrationVol. 103(4)
Leiden University (NL), Hague Institute for Global Justice (NL)
Openalex Percentile: Top 86%
Community Health and Development
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What Reasoning Do Frontline Professionals Use Around Citizen‐Clients' Socioeconomic Status: Exploring the Mechanisms — Sandra Groeneveld, Nadine Raaphorst, et al. · Public Administration (2025) | TGRS Research Map | TGRS