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Abstract
People from lower socio-economic classes are confronted with several barriers that impede their access to health care. An important, though often forgotten barrier is embedded in the care-relationship. Differences in the social environment of health care workers and poor complicate the care-relationship. By means of in-depth interviews and focus groups with health care workers in the fields of primary and secondary antenatal and postnatal care and diabetes care we mapped their perception of poverty and of their care-relationship with intergenerational poor. Our results show that health care workers perceive the causes of poverty mainly on the individual level. When asked about the basic conditions for a good care-relationship health care workers stress the presence of trust and a fundamental attitude of relational equivalence, authenticity and respect. This ideal image has a stressfull relationship with the framework of individual guilt that puts the responsibility for a good care-relationship, at least partly, with the poor. Based on these results an educational program for health care workers has been developed.
Keywords
poverty, acces to health care, health care workers, care relationship

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Chicago
Peeters, Bart, Bieke Crabbe, An De Craecker, Veerle Devriendt, Veerle Duprez, Guido Schoorens, Katrien Beeckman, Marlies Eggermont, and Sylvian Leroux. 2009. “Visie Van Gezondheidswerkers Op Armoede En Hun Zorgrelatie Met Generatiearmen.” In Ziekte, Gezondheid En Samenleving : Een Bloemlezing Van Gezondheidssociologisch Onderzoek, ed. Piet Bracke, 153–164. Leuven, België ; Den Haag, Nederland: Acco.
APA
Peeters, Bart, Crabbe, B., De Craecker, A., Devriendt, V., Duprez, V., Schoorens, G., Beeckman, K., et al. (2009). Visie van gezondheidswerkers op armoede en hun zorgrelatie met generatiearmen. In P. Bracke (Ed.), Ziekte, gezondheid en samenleving : een bloemlezing van gezondheidssociologisch onderzoek (pp. 153–164). Leuven, België ; Den Haag, Nederland: Acco.
Vancouver
1.
Peeters B, Crabbe B, De Craecker A, Devriendt V, Duprez V, Schoorens G, et al. Visie van gezondheidswerkers op armoede en hun zorgrelatie met generatiearmen. In: Bracke P, editor. Ziekte, gezondheid en samenleving : een bloemlezing van gezondheidssociologisch onderzoek. Leuven, België ; Den Haag, Nederland: Acco; 2009. p. 153–64.
MLA
Peeters, Bart, Bieke Crabbe, An De Craecker, et al. “Visie Van Gezondheidswerkers Op Armoede En Hun Zorgrelatie Met Generatiearmen.” Ziekte, Gezondheid En Samenleving : Een Bloemlezing Van Gezondheidssociologisch Onderzoek. Ed. Piet Bracke. Leuven, België ; Den Haag, Nederland: Acco, 2009. 153–164. Print.
@incollection{514707,
  abstract     = {People from lower socio-economic classes are confronted with several barriers that impede their access to health care. An important, though often forgotten barrier is embedded in the care-relationship. Differences in the social environment of health care workers and poor complicate the care-relationship. By means of in-depth interviews and focus groups with health care workers in the fields of primary and secondary antenatal and postnatal care and diabetes care we mapped their perception of poverty and of their care-relationship with intergenerational poor. Our results show that health care workers perceive the causes of poverty mainly on the individual level. When asked about the basic conditions for a good care-relationship health care workers stress the presence of trust and a fundamental attitude of relational equivalence, authenticity and respect. This ideal image has a stressfull relationship with the framework of individual guilt that puts the responsibility for a good care-relationship, at least partly, with the poor. Based on these results an educational program for health care workers has been developed.},
  author       = {Peeters, Bart and Crabbe, Bieke and De Craecker, An and Devriendt, Veerle and Duprez, Veerle and Schoorens, Guido and Beeckman, Katrien and Eggermont, Marlies and Leroux, Sylvian},
  booktitle    = {Ziekte, gezondheid en samenleving : een bloemlezing van gezondheidssociologisch onderzoek},
  editor       = {Bracke, Piet},
  isbn         = {9789033474392},
  keyword      = {poverty,acces to health care,health care workers,care relationship},
  language     = {dut},
  pages        = {153--164},
  publisher    = {Acco},
  title        = {Visie van gezondheidswerkers op armoede en hun zorgrelatie met generatiearmen},
  year         = {2009},
}