障碍:英格兰艾滋病毒预防服务提供 (2016-2020) 的演讲性问题化和转型
1Sociology, Goldsmiths, University of London, London, UK.
Social theory & health : STH
|December 25, 2025
概括
医疗保健中的障碍很少被定义,而是战略性地使用. 这项研究表明,英格兰HIV-PreP讨论中的"障碍"是如何塑造医疗保健服务和患者活动的.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保健获取"障碍"的概念经常被引用,但缺乏明确的定义.
- 现有的审查表明,在使用"障碍"一词时,存在概念和方法上的缺陷.
- 这项研究探讨了医疗保健中对"障碍"的批判性概念化的需要.
研究的目的:
- 分析英国关于艾滋病毒暴露前预防 (PrEP) 的医疗保健辩论中"障碍"的演讲效应.
- 为了说明"障碍"的指定如何影响医疗保健提供和利用中的权力动态.
- 探讨"障碍"在基于证据的激进主义和性公民概念中的作用.
主要方法:
- 在英语PrEP辩论中 (2017-2020) 利益相关者联盟和立场的情境分析.
- 对医疗保健相关文献和政策文件进行话语分析.
- 在关键健康研究中对"障碍"一词的概念分析.
主要成果:
- 将问题指定为"障碍"会在医疗保健的提供和使用上产生权力斗争.
- "障碍物"将患者问题与专家组协调一致,将其整合到专家话语中.
- "障碍"的概念使患者的价值观和偏好变得客观化,使它们与政治和政府的目标保持一致.
结论:
- "障碍"在医疗保健话语中被战略性地使用,以塑造服务和政策.
- "障碍"的概念在基于证据的激进主义和生物和性公民身份的扩大中发挥着至关重要的作用.
- 了解"障碍"的演讲功能对医疗保健中的政策和系统管理有重大影响.
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