Impact of Regulatory Policy on Out-of-Hospital Care, Legal Mobilization, and Social Movements

这个项目考察了监管政策对由经认证的卫生专业人员提供的院外护理的影响。它审查了注册卫生专业人员在不同的监管环境下解释法规、遵守规则和了解其执业范围的不同方式。这项研究询问，注册保健专业人员的职业化和监管是否以及如何影响保健的提供；监管是否按预期进行；由于缺乏监管而造成的空白是否通过其他方式来填补。此外，研究还审查了注册卫生专业人员是否以及如何寻求法律地位和监管，为此目的动员法律的不同方式，以及这种动员对注册卫生专业人员的专业身份和法律意识的影响。回答这些问题有助于从理论上理解法律与健康之间的重要关系，并对主导医学模式之外的卫生保健的政策制定和监管具有广泛的影响。这项研究的更广泛影响还包括对本科生的培训和教育。该项目利用人种学的参与者观察、访谈研究和文献证据，结合解释性的社会科学方法，分析美国关于院外护理的规定。面对复杂的监管网络和各州不同的执法，该项目侧重于监管环境和实施情况各不相同的三个州，并依赖于对注册专业助产士的案例研究。这项研究的发现将促进关于法律实施、法律动员以及社会运动和职业行为者的法律意识的社会法学学术和理论。

This project examines the impact that regulatory policy has on out-of-hospital care provided by certified health professionals. It examines the different ways that certified health professionals interpret regulation, follow rules, and understand their scope of practice, given the differing regulatory environments in which they operate. The research asks whether and how the professionalization and regulation of certified health professionals impact the provision of health care; whether regulation operates as intended; and whether voids created by the absence of regulation are filled by other means. In addition, the research examines whether and how certified health professionals seek legal status and regulation, the varying ways in which law is mobilized toward this end, and the impact of such mobilization on the professional identities and legal consciousness of certified health professionals. Answering these questions contributes to theoretical understanding of the important relationship between law and health, and has broad implications for policy-making and the regulation of health care outside of the dominant medical model. The broader impact of the research also includes training and education of undergraduate students. The project utilizes ethnographic participant-observation, interview research, and documentary evidence coupled with interpretive social science methods in order to analyze the regulations surrounding out-of-hospital care in the United States. In the face of a complex web of regulations and disparate enforcement state-by-state, the project focuses on three states where regulatory environments and implementation varies, and relies on a case study of Certified Professional Midwives (CPMs). The findings of this research will advance sociolegal scholarship and theory on the implementation of laws, legal mobilization, and legal consciousness of social movement and professional actors.