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英国における移住医療従事者への依存:批判的論説分析
Zakia Arfeen1, Eleanor Nash1, Mohammed Ahmed Rashid1,2
1UCL Medical School, Faculty of Medical Sciences, University College London, London, United Kingdom.
PLOS global public health
|September 5, 2025
まとめ
移住した医療従事者は英国国民保健サービス (NHS) に不可欠です. 批判的な議論の分析は,これらの労働者に対する支配的な支持を明らかにしますが,依存と植民地移住の根源を減らす議論は,依然として疎外されています.
科学分野:
- 公衆衛生
- 健康社会学
- 批判的演説分析
背景:
- 英国の国民保健サービス (NHS) は歴史的に移民医療従事者 (M-HCWs) に依存しており,しばしば植民地関係のある低所得国 (LMICs) から来ている.
- NHSの医療人材不足は,人材配置に関する政策合意の欠如を強調しています.
研究 の 目的:
- NHSにおけるM-HCWへの依存を減らすという議論をめぐる議論を批判的に分析する.
- M-HCWに関する公的および医学的な議論における言語,権力,知識の間のつながりを探求する.
主な方法:
- ディドー・ハーディング男爵夫人の声明の翌月に出版された48件の記事 (新聞,メディア,ジャーナル) の批判的論説分析 (Critical Discourse Analysis,CDA).
- ミシェル・フーコーとエドワード・サイドのポストコロニアル理論に基づいた理論的枠組み
主要な成果:
- この発言に大きく反対し,M-HCWのNHSへの重要な貢献を強調する支配的な議論が生まれました.
- M-HCWへの依存を減らすことを支持する二次的な議論は,特に欠落しており,この見解の疎外を示唆しています.
結論:
- この研究は,M-HCWのNHSへの価値に対する強い公的および専門的な肯定を示しています.
- 批判的な議論の疎外は,移住の道,植民地遺産,そしてLMICからの脳流出の倫理的影響に対処する必要性を示しています.
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