Doctoral Dissertation Research: An Ethnographic Analysis of Healthcare Services Delivery in Socially Marginal Communities

博士论文研究：社会边缘社区医疗服务提供的人种学分析

• 批准号: 1356549
• 负责人: Phillipe Bourgois
• 金额: $ 1.28万
• 依托单位: University of Pennsylvania
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-06-01 至 2015-11-30
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1356549&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Ethnographic; Analysis

Nicholas Iacobelli, under the supervision of Dr. Phillipe Bourgois of the University of Pennsylvania, will explore how healthcare security is negotiated among socially marginal communities. The research focuses on prison inmates, a population largely uninsured and with inconsistent healthcare access on the outside, but who are paradoxically the only U.S. population group currently guaranteed a constitutional right to healthcare. The study seeks to evaluate this paradox through an ethnographic evaluation of the legal, political, and economic determinants of prison healthcare juxtaposed with the everyday operations of correctional healthcare administration in a maximum-security prison. This project will address 1) How prisons are relied upon to generate healthcare security, and 2) What social factors shape local care seeking and provision.This project responds to the dearth of detailed ethnographic research in prison settings by examining the everyday dynamics of incarceration and analyzing them in the larger context of state services and citizenship. The study's ethnographic approach will provide insight on the interpersonal, administrative, and legal processes that dictate care with a focus on what is at stake "on the ground."It is thus uniquely situated to generate knowledge about contemporary state services, social marginalization, and the political role of health. It will also be able to help local correctional healthcare providers structure their policies and practices to address the study's findings and generate broader debate about care provision and the costs of incarceration.

Nicholas Iacobelli在宾夕法尼亚大学Phillipe Bourgois博士的监督下，将探讨社会边缘社区之间如何谈判医疗保障。这项研究的重点是监狱囚犯，他们基本上没有保险，而且在外面的医疗保健服务不一致，但矛盾的是，他们是目前唯一一个得到宪法保障的美国人口群体。该研究旨在通过民族志评估的法律的，政治和经济的决定因素，监狱医疗保健并列与日常运作的惩教保健管理在最高安全监狱，以评估这一悖论。该项目将解决1）监狱是如何依赖于产生医疗保障，以及2）什么样的社会因素塑造当地的护理寻求和提供。该项目通过检查监禁的日常动态，并在国家服务和公民身份的大背景下分析它们，以应对监狱环境中缺乏详细的民族志研究。这项研究的人种学方法将提供对人际关系，行政和法律的过程，决定照顾与重点是什么是在“地面上的利害关系的洞察力。“因此，它具有独特的地位，可以产生关于当代国家服务、社会边缘化和卫生的政治作用的知识。它还将能够帮助当地的惩教医疗服务提供者构建他们的政策和实践，以解决研究结果，并就护理提供和监禁成本产生更广泛的辩论。