微观政策在学校医疗中心的提供性健康服务
Dara Shifrer1, Alyssa Nestler2, Haley Simons3
1Portland State University, Portland, Oregon, USA.
概括
基于学校的健康中心 (SBHC) 应对复杂的政治局势,为青少年提供性健康服务. 协调员建立信任和妥协,以平衡竞争利益,确保服务的连续性.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 组织理论组织理论.
背景情况:
- 基于学校的健康中心 (SBHCs) 对青少年的性健康至关重要.
- 它们在具有挑战性的政治环境中运作,利益关方利益多样化.
- 提供全面的性健康服务往往面临反对.
研究的目的:
- 探索SBHC协调员用来提供性健康服务的微观政治.
- 了解协调员如何管理其组织和社区内的利益冲突.
- 将组织理论应用于青少年性健康服务的背景.
主要方法:
- 使用来自俄勒冈州33名SBHC协调员和教育合作伙伴的采访数据进行定性研究 (2019-2021).
- 分析组织动态和利益相关者的互动.
- 组织理论的应用来解释微观政治战略.
主要成果:
- SBHC协调员面临来自反避孕,清教徒主义和父母权利利益的冲突.
- 协调员在战略上与教育工作者,学生和家长建立关系信任.
- 妥协是维护既得利益和信任的关键策略.
结论:
- SBHC协调员采用战略微观政治,包括建立信任和妥协,为青少年提供性健康服务.
- 这些策略对于在学校环境中导航基于道德的冲突至关重要.
- 结果为面临类似基于价值的挑战的其他系统提供了洞察力.
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