Decentred comparative research: Context sensitive analysis of maternal health care.
Decentred comparative research: Context sensitive analysis of maternal health care.
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去中心比较研究：孕产妇保健的情境敏感分析。
DOI：
10.1016/j.socscimed.2006.07.011
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
DeVries,RaymondG
中科院分区：
文献类型：
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作者：
Wrede,Sirpa;Benoit,Cecilia;Bourgeault,IvyLynn;vanTeijlingen,EdwinR;Sandall,Jane;DeVries,RaymondG
跨国比较是卫生保健研究的一个重要工具，但使用这种方法的人往往没有考虑到卫生保健的社会组织以及卫生保健实践与社会经验之间关系的重要国际差异。在这篇文章中，我们对卫生保健的上下文敏感和反思性分析进行了论证，使研究人员能够理解卫生保健系统和实践在时间和地点上的重要方式。我们的方法——以中心为中心的比较研究——解决了传统比较研究中经常被忽视的种族中心主义。非中心跨国研究是一种利用国际研究团队的社会地位和分布的专业知识来发展关键概念和研究问题的方法。我们使用去中心的方法来塑造一个多层次的框架，该框架使用组织的中观水平（即，卫生保健组织，专业团体和其他具体组织）作为我们在八个国家的产妇护理国际研究的分析起点。我们的方法不同于传统的比较卫生系统研究，通常是在宏观层面上进行的。我们的方法将帮助研究人员开发关于医疗保健的新的和社会健全的知识。
Cross-national comparison is an important tool for health care research, but too often those who use this method fail to consider important inter-national differences in the social organisation of health care and in the relationship between health care practices and social experience. In this article we make the case for a context-sensitive and reflexive analysis of health care that allows researchers to understand the important ways that health care systems and practices are situated in time and place. Our approach—decentred comparative research—addresses the often unacknowledged ethnocentrism of traditional comparative research. Decentred cross-national research is a method that draws on the socially situated and distributed expertise of an international research team to develop key concepts and research questions. We used the decentred method to fashion a multilevel framework that used the meso level of organisation (i.e., health care organisations, professional groups and other concrete organisations) as an analytical starting point in our international study of maternity care in eight countries. Our method departs from traditional comparative health systems research that is most often conducted at the macro level. Our approach will help researchers develop new and socially robust knowledge about health care.