"Villagers": Differential treatment in a Ghanaian hospital
"Villagers": Differential treatment in a Ghanaian hospital
复制标题
DOI：
10.1016/j.socscimed.2004.03.005
复制
发表时间：
2004-11-01
影响因子：
5.4
通讯作者：
Andersen, HM
中科院分区：
文献类型：
--
作者：
Andersen, HM
患者、卫生工作者和决策者都承认，非洲医疗机构卫生工作者对患者的差别待遇是实现政府卫生保健公平目标的障碍。这项定性研究从卫生工作者的角度理解差别待遇的产生和合法化。根据加纳北部一家医院的定性实地资料，通过对患者的分类，探讨了医院实践的社会文化、生物医学和官僚方面之间的关系。结论是，将差别待遇归咎于卫生工作者的“不良态度”并不是一个充分的解释。必须承认，差别待遇可以理解为一种代理形式，它与医院工作条件以及卫生工作者的专业和社会身份有关。(C) 2004 Elsevier Ltd.版权所有。
Differential treatment of patients by health workers in African medical institutions is acknowledged by patients, health workers and policy-makers alike to be an obstacle in the realization of government objectives of equity in health care. This qualitative study understands the production and legitimization of differential treatment from the perspective of health workers. On the basis of qualitative field material from a hospital in Northern Ghana the relation between socio-cultural, biomedical and bureaucratic aspects of hospital practice is explored through a focus on categorizations of patients. It is concluded that to blame the "bad attitudes" of health workers for differential treatment is not an adequate explanation. It is important to acknowledge that differential treatment can be understood as a form of agency, and is related to the conditions of hospital work and to the professional and social identities of health workers. (C) 2004 Elsevier Ltd. All rights reserved.