我们需要谈论"坏"的弹性
Dell D Saulnier1,2, Stephanie M Topp3,4
1Department of Clinical Sciences Malmö, Lund University, Lund, Sweden dell.saulnier@med.lu.se.
卫生系统的弹性通常被看作是积极的,但这种框架可能会忽视社会因素和后果. 需要进行批判性的重新思考,以确保弹性对卫生政策和研究仍然有用.
科学领域:
- 卫生政策 卫生政策
- 卫生系统研究 卫生系统研究
- 卫生社会学 卫生社会学
背景情况:
- 卫生系统弹性概念已经获得了显著的引力.
- 人们越来越倾向于将弹性视为一种固有的积极属性.
研究的目的:
- 挑战卫生系统弹性的规范框架.
- 检查与假设弹性相关的风险总是"好".
- 突出对卫生系统政策和研究的潜在负面影响.
主要方法:
- 批判性分析基础假设的积极框架的弹性.
- 检查这种框架如何掩盖卫生系统的社会维度.
- 探索将弹性视为纯粹可以实现的目标的后果.
主要成果:
- 适应力的规范框架可能会导致忽视卫生系统的社会性质.
- 假设弹性本质上是积极的,可能会导致研究人员和政策制定者忽视变化的后果.
- 这种观点可能会损害有效的卫生系统政策和研究.
结论:
- 对有关卫生系统弹性的假设进行批判性重新评估是必要的.
- 超越对性的纯正看法对于保持其实用性至关重要.
- 了解社会背景对于有效加强卫生系统至关重要.
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