Reconceptualizing 'inappropriateness': researching multiple moral positions in demand for primary healthcare

Reconceptualizing 'inappropriateness': researching multiple moral positions in demand for primary healthcare
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DOI:
10.1177/1363459303007001621
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发表时间:
2003-01-01
期刊:
影响因子:
2.1
通讯作者:
Ehrich, K
Ehrich, K
中科院分区:
医学4区
文献类型:
--
作者:
Ehrich, K

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在最近完成的一项研究的管理“小时外”的儿童初级保健和判断的方式作出有关合法访问,“不适当的需求”的结构进行了调查。这个看似棘手的医疗保健问题并没有得到解决的研究,建立在一个片面的概念化的“问题”。在实践中,“需求”出现在复杂的过程中的人之间的互动采取了一系列的道德立场,在特定的情况下。这说明了一些民族志材料的研究解释。一个论点是提出了一种替代的研究方法,这种有争议的问题,承认多个和潜在的道德取向,并揭示了科学的幌子道德判断。
In a recently completed study of the management of 'out-of-hours' primary healthcare for children and ways in which judgements are made about legitimate access, the construct of 'inappropriate demand' is investigated. This seemingly intractable health care issue has not been resolved by research that rests on a one-sided conceptualization of the 'problem'.In practice, 'demand' arises within complex processes of interaction between people taking a range of moral positions in particular contexts. This is illustrated with interpretations of some ethnographic material from the study. An argument is made for an alternative research approach to such contentious issues that acknowledges multiple and latent moral orientations, and reveals moral judgements in scientific guise.