Understanding India, globalisation and health care systems: a mapping of research in the social sciences.

Understanding India, globalisation and health care systems: a mapping of research in the social sciences.
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DOI:
10.1186/1744-8603-8-32
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发表时间:
2012-09-10
影响因子:
10.8
通讯作者:
Murray SF
Murray SF
中科院分区:
医学2区
文献类型:
--
作者:
Bisht R;Pitchforth E;Murray SF

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随着当前全球化进程的发展,国家和跨国医疗保健系统正在迅速发展。社会科学对理解这一领域的贡献是什么?进行了结构化的范围界定,以使用印度的透镜识别相关文献-印度是一个医疗保健经济快速发展的“崛起大国”。采用了五步搜索和分析方法,以获取尽可能广泛的材料。纳入了符合社会科学贡献标准的英文出版文件进行审查。通过在印度进行的电子书目数据库、网站和手工检索,确定了113篇相关文章、书籍和报告。这些分类根据主题领域,出版日期,学科的角度,流派,理论和方法的方法。主题领域最初是通过归纳法确定的,然后合理化为七个大主题。卫生服务的跨国消费;跨国卫生保健劳动力;特定健康相关商品的生产、消费和贸易,以及思想和知识的跨国传播,都受到了社会科学家在与印度有关的工作中的关注。工作量较小的其他主题包括新的全球卫生治理问题和结构;跨国提供卫生服务和资本的跨国流动。在我们的审查中发现了13个学科,社会政策是一个明确的领导者,其次是经济学和管理学。总的来说,对印度相关工作的调查表明,尽管受到全球比较数据不足和难以获得商业敏感信息的阻碍,但文献仍在不断扩大。该领域将受益于学科之间的进一步交叉和解释性理论的更多应用。围绕干细胞研究和健康相关商品的文献提供了一些启发社会科学的优秀例子。今后关于卫生系统问题的研究议程需要包括创新性的经验工作,以捕捉跨国进程的动态,并将宏观层面的变化与对社会生活的细致观察联系起来。
National and transnational health care systems are rapidly evolving with current processes of globalisation. What is the contribution of the social sciences to an understanding of this field? A structured scoping exercise was conducted to identify relevant literature using the lens of India – a ‘rising power’ with a rapidly expanding healthcare economy. A five step search and analysis method was employed in order to capture as wide a range of material as possible. Documents published in English that met criteria for a social science contribution were included for review. Via electronic bibliographic databases, websites and hand searches conducted in India, 113 relevant articles, books and reports were identified. These were classified according to topic area, publication date, disciplinary perspective, genre, and theoretical and methodological approaches. Topic areas were identified initially through an inductive approach, then rationalised into seven broad themes. Transnational consumption of health services; the transnational healthcare workforce; the production, consumption and trade in specific health-related commodities, and transnational diffusion of ideas and knowledge have all received attention from social scientists in work related to India. Other themes with smaller volumes of work include new global health governance issues and structures; transnational delivery of health services and the transnational movement of capital. Thirteen disciplines were found represented in our review, with social policy being a clear leader, followed by economics and management studies. Overall this survey of India-related work suggests a young and expanding literature, although hampered by inadequacies in global comparative data, and by difficulties in accessing commercially sensitive information. The field would benefit from further cross-fertilisation between disciplines and greater application of explanatory theory. Literatures around stem cell research and health related commodities provide some excellent examples of illuminating social science. Future research agendas on health systems issues need to include innovative empirical work that captures the dynamics of transnational processes and that links macro-level change to fine-grained observations of social life.
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