SDEST: Doctoral Dissertation Research: An ethnography of the social ethics of Catholic healthcare

SDEST：博士论文研究：天主教医疗保健社会伦理的民族志

• 批准号: 0114083
• 负责人: Linda Mitteness
• 金额: --
• 依托单位: University of California-San Francisco
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-08-01 至 2003-07-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=0114083&HistoricalAwards=false
• 关键词: SDEST; Doctoral; Dissertation; Research; ethnography

This dissertation project is a multi-sited ethnographic analysis of the interplay of Catholic social ethics and technological advances in healthcare science at the fourth largest US hospital system. This 48-facility corporation is the flagship of Catholic healthcare but serves diverse California constituencies. This project investigates situations where developments in medical science and technology result in conflicting ethics and value systems between Catholic hospitals and the communities they care for. It seeks to understand how these values are articulated and how conflicting demands are negotiated between people and between organizational structures. This research will focus on how values affect actual behavior within institutions and how policy is developed to respond to conflicting values systems. Ethnographic research methods in this 15 month project include: 1) daily participant observation in meetings and hospital practice, 2) modified life history interviews with 10-15 informants involved in ethics issues and policy design, 3) review and analysis of documents produced by the hospital system since 1997. Field sites reflect an explicit effort to work in facilities where new technologies challenge operative value systems, as in secular hospitals now affiliated with the Catholic system. This research will contribute to the study of science and religious pluralism, particularly how ethics and social values affect group behavior. The results will be of interest to bioethicists, theologians, healthcare service providers and policy makers, and community groups working with faith-based organizations.

本论文项目是一个多站点的民族志分析天主教社会伦理和医疗保健科学在美国第四大医院系统的技术进步的相互作用。这家拥有48家设施的公司是天主教医疗保健的旗舰，但服务于不同的加州选区。该项目调查了医疗科学和技术的发展导致天主教医院与他们所照顾的社区之间的道德和价值体系冲突的情况。它试图了解这些价值观是如何表达的，以及人们之间和组织结构之间如何协商冲突的需求。这项研究将集中在价值观如何影响机构内的实际行为，以及如何制定政策，以应对相互冲突的价值体系。在这个为期15个月的项目中，民族志研究方法包括：1）在会议和医院实践中的日常参与观察，2）与10-15名参与伦理问题和政策设计的知情人进行修改的生活史访谈，3）回顾和分析自1997年以来医院系统产生的文件。实地考察反映了在新技术挑战操作价值体系的设施中工作的明确努力，如现在附属于天主教系统的世俗医院。这项研究将有助于科学和宗教多元化的研究，特别是道德和社会价值观如何影响群体行为。研究结果将引起生物伦理学家、神学家、医疗服务提供者和政策制定者以及与信仰组织合作的社区团体的兴趣。