框架,叙事和过量危机
1School of Population and Public Health, https://ror.org/03rmrcq20The University of British Columbia, British Columbia, Canada.
概括
主导叙述和框架显著影响了阿片类药物过量危机,影响了临床指南和政策. 通过多个利益相关方的视角来理解这些动态对于有效的公共卫生干预至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 医学社会学 医学社会学
背景情况:
- 过量服用危机在历史上是由特定的叙述和框架策略塑造的.
- 对慢性疼痛管理中阿片类药物知识的控制影响了临床实践和指导方针.
- 主导叙述在定义公共卫生问题和确定适当的政策解决方案方面发挥着关键作用.
研究的目的:
- 分析不同的叙述和框架如何影响过量危机.
- 了解不同利益相关者 (患者,临床医生,行业,监管机构等) 之间的互动. ) 的情况.
- 提出一种更有效的方法来应对公共卫生紧急情况,通过吸引多个角度来解决问题.
主要方法:
- 对过量危机中的叙述和框架的定性分析.
- 利益相关者分析,以了解不同的观点和互动.
- 关于医学社会学和卫生政策的文献综述.
主要成果:
- 确定了具体的叙述和框架如何指导对过量危机的反应.
- 证明了知识控制对阿片类药物处方和临床指南的影响.
- 突出了主导框架对政策定义和解决方案选择的影响.
结论:
- 对框架动态的细微理解对于澄清利益相关者的互动至关重要.
- 依靠单一的主导叙述的效果不如吸引多个观点.
- 采用多视角方法为管理复杂的公共卫生危机提供了更强大的战略,例如过量疫情.
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