Doctoral Disssertation Research: Motivations for Medical Migration in the United States/Mexico Borderlands

博士论文研究：美国/墨西哥边境地区医疗移民的动机

• 批准号: 0848478
• 负责人: Paul Brodwin
• 金额: $ 1.41万
• 依托单位: University of Wisconsin-Milwaukee
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-03-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=0848478&HistoricalAwards=false
• 关键词: Doctoral; Disssertation; Research; Motivations; Medical

Doctoral student, Matthew Dalstrom (University of Wisconsin-Milwaukee), advised by Dr. Paul Brodwin, will conduct research on the cultural and social motivations for medical migration, briefly defined as the movement of people across borders for health care. The project will be conducted in two cities along the United States-Mexico border. Previous studies have illustrated that Americans actively pursue health care opportunities in Mexico, but there is little known about the institutional structures and cultural beliefs that enable or encourage people to do so. This study examines three questions: 1) Do Americans cross the border for health care predominately because of lack of insurance and high medical cost, or are social and cultural factors also important? 2) What factors determine the way American medical migrants choose providers in Mexico? 3) How do American medical providers balance nationalism and patient safety with their assessment of medical migration? Research will be conducted through the use of surveys, participant observation, and semi-structured interviews with the primary participants: patients, doctors, dentists, pharmacists, and medical migration brokers.This project is important because it examines how culture, as well as poverty, health care inequalities, and state policies influence individual health care options and decisions. Furthermore, it will contribute to the discussion of border health policy and the different ways that individuals understand and utilize health care along the border. The research also will contribute to the education of a social scientist.

博士生，马修Dalstrom（威斯康星大学密尔沃基分校），由博士建议保罗·布罗德温，将进行研究的文化和社会动机的医疗移民，简要地定义为人的移动跨越国界的医疗保健。该项目将在美国-墨西哥边境沿着的两个城市进行。以前的研究表明，美国人积极追求在墨西哥的医疗保健机会，但很少有人知道的制度结构和文化信仰，使或鼓励人们这样做。本研究探讨三个问题：1）美国人跨越边境的医疗保健主要是因为缺乏保险和高昂的医疗费用，还是社会和文化因素也很重要？2)哪些因素决定了美国医疗移民选择墨西哥医疗服务提供者的方式？3)美国医疗服务提供者如何平衡民族主义和病人安全与他们对医疗移民的评估？研究将通过使用调查，参与者观察和半结构化访谈的主要参与者进行：患者，医生，牙医，药剂师和医疗移民经纪人。这个项目很重要，因为它探讨了文化，以及贫困，医疗保健不平等和国家政策如何影响个人的医疗保健选择和决定。此外，它将有助于讨论边境卫生政策和不同的方式，个人理解和利用保健沿着边界。这项研究也将有助于社会科学家的教育。