Reasonableness: legitimate reasons for illegitimate presentations at the ED

摘要: Most studies on gatekeeping at the emergency department (ED) have emphasised assessment of clients in terms perceived legitimacy and deservingness, showing that lay considerations lead to exclusionary practices, ED contributes social reproduction inequality. Some recent works challenged this representation, providing compelling evidence staff's concern for access care most vulnerable users. I extend perspective by presenting criterion reasonableness visit nurses Romania commonly use during triage admission interview. Reasonableness constitutes an acceptable departure from mission offsets negative evaluation legitimacy. Patients deemed legitimate reasons making illegitimate claims escape disciplining efforts. However, staff-devised understanding is restrictive does not attend cultural structural barriers quality health care. argue indexes sensitivity, a fragmentary, tacit, imperfectly consistent orientation deficiencies organisation provision primary