"Doctoral Dissertation Research: The Local Implementation of Global Health Priorities"

“博士论文研究：全球卫生优先事项的本地实施”

• 批准号: 1202712
• 负责人: Stefan Timmermans
• 金额: $ 0.75万
• 依托单位: University of California-Los Angeles
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-01 至 2013-04-30
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1202712&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Local; Implementation

SES-1202712Stefan TimmermansTara McKayUniversity of California, Los AngelesDoctoral Dissertation Research: The Local Implementation of Global Health PrioritiesABSTRACTGlobal health policy faces the challenge of reconciling international and local goals. This dissertation examines how tensions and ties among countries shape the diffusion of health programming priorities. Using a novel dataset utilizing four waves of UN country progress reports, this study considers how organizational ties among states and elites have shaped the diffusion of health programming priorities and tests the role of organizational ties against other prominent theories of social change. Additionally, the study employs original survey and ethnographic data to examine closely the social underpinnings of organizational and popular resistance to global health priority diffusion.The intellectual merit of this study rests in its focus on the social processes that have informed the ongoing construction and diffusion of global health policy priorities at three distinct levels: transnational elites, government and non-government organizations, and ordinary citizens. This study draws from the sociological literature on health to inform an understanding of the ways in which the identification of health policy priorities is shaped by macro social forces. The study also integrates the organizational literature on institutional isomorphism with additional theories of social change and diffusion in order to reconstruct the pathways of adoption and resistance to global health policy priorities. Broader ImpactsChronic conditions and infectious diseases continue to have a major impact on morbidity and mortality around the world. They affect life expectancy and quality of life for millions of people. Policies designed at the national and supranational level that seek to prevent the transmission of illnesses, and that regulate e.g., treatments vary greatly in their effectiveness due to variation in implementation at local levels. If successful, findings from this study may inform our understanding of global health policy is made, how populations deemed at risk are identified, and the conditions under which policy goals become uncoupled from policy outcomes.

加州大学洛杉矶分校博士论文研究：全球卫生优先事项的地方实施摘要全球卫生政策面临着协调国际和地方目标的挑战。本文探讨了国家之间的紧张关系和联系如何塑造卫生规划优先事项的传播。使用一个新的数据集，利用四波联合国国家进展报告，本研究认为，国家和精英之间的组织关系如何塑造了卫生规划优先事项的扩散，并测试组织关系对其他突出的社会变革理论的作用。此外，本研究采用原始调查和人种学数据，仔细研究了组织和民众抵制全球卫生优先事项传播的社会基础。本研究的学术价值在于其关注的社会进程，这些进程为全球卫生政策优先事项在三个不同层面上的持续建设和传播提供了信息：跨国精英、政府和非政府组织以及普通公民。这项研究借鉴了社会学文献的健康，告知了解的方式，其中确定卫生政策的优先事项是由宏观社会力量形成。该研究还整合了机构同构的组织文献与社会变革和扩散的其他理论，以重建采用和抵抗全球卫生政策优先事项的途径。 慢性病和传染病继续对世界各地的发病率和死亡率产生重大影响。它们影响到数百万人的预期寿命和生活质量。 在国家和超国家一级制定的旨在防止疾病传播的政策，由于在地方一级的实施情况不同，治疗的有效性差别很大。 如果成功的话，这项研究的结果可以帮助我们理解全球卫生政策的制定，如何识别被认为处于风险中的人群，以及政策目标与政策结果脱钩的条件。