Organizational Constructions of a New Right

对健康权利的新主张已成为动员和争议的中心。这项研究审查了在卫生保健环境中实施的新权利。它将为研究（1）权利的组织结构和（2）健康与权利之间的关系作出智力贡献。它涉及法律、健康和权利之间相互联系的重要问题，并在法律的创新时刻调查一个新的网站。这些假设将研究的见解纳入组织争议处理。研究设计有意捕捉这样一个事实，即适应新颁布的权利可能会有很大的不同类型的医疗保健组织，以及直接从事与医疗保健环境固有的独特性。这个项目的目标是了解医疗机构如何适应新权利的实施。这项研究是建立在社会学理论的基础上的，社会学理论强调“地面上的法律”（即人们实际上在做什么），而不是“书本上的法律”（正式的法律的规则）作为研究法律如何运作的主要场所。不同地区的不同类型的医疗机构可能对这些规定有不同的解释。原始数据将在全国选定地区与医院、医生办公室和手术中心的指定申诉处理人员进行120次面对面访谈。例如，这项研究将包括城市和农村的医疗保健场所，以及私立宗教医院和公立医院。访谈记录的系统分析将有助于研究人员了解医疗保健管理人员如何处理他们组织中的权利制定问题，以及他们的解决方案是否因机构类型、位置、所有权结构、规模和其他变量而异。

New claims to health-based rights have become a center of mobilization and dispute. This research examines new rights imposed within health-care settings. It will make intellectual contributions to the study of (1) organizational constructions of rights and (2) the relationship between health and rights. It engages significant questions about interconnections between law, health, and rights and investigates a new site at a moment of legal innovation. The hypotheses incorporate insights from research into organizational dispute processing. The research design purposely captures the fact that adaptation to a newly enacted right may vary widely across different types of health care organizations as well as engages directly with the unique characteristics inherent in health-care settings. The goal of this project is to understand how medical organizations adapt to the imposition of new rights. The study is grounded in sociological theories that emphasize "law on the ground" (that is, what people are actually doing) rather than "law on the books" (formal legal rules) as the primary place to study how law works. Different types of health care organizations in different locations may interpret these regulations differently. Original data will be gathered in the form of 120 in-person interviews in selected areas around the country with the designated grievance handlers in hospitals, doctor's offices, and surgical centers. The study will include both urban and rural health care sites, for example, and private religious hospitals as well as public hospitals. Systematic analysis of interview transcripts will help researchers understand how health care administrators approach problems of rights-enactment in their organizations and whether their solutions vary by type of institution, location, ownership structure, size, and other variables.