Doctoral Dissertation Research: Socio-demographic variation in experiences of maternal healthcare in relation to conceptions of health crisis

孕产妇死亡率在上个世纪显著下降，但仍然高度不稳定，影响着人们对孕产妇保健的理解和体验。重大研究揭示了诸如接近医疗保健和社会经济地位等因素是如何影响产妇健康的。然而，产妇的特征与许多其他社会学变量和历史交织在一起，影响了她们使用和体验产妇保健的方式。这项博士论文研究调查了产妇健康危机概念的差异如何影响妇女如何与主流和替代形式的医疗保健相交。它对研究生进行科学文化人类学理论和方法的培训，并向学术和政策受众广泛传播研究结果。研究人员调查临床医生和患者如何理解孕产妇健康危机的概念，以及这如何影响护理的提供和体验。通过访谈和参与者观察，研究人员提出了以下问题：个人因素如何交叉影响患者体验；临床医生对危机的理解如何影响孕产妇保健；患者和临床医生的体验如何交叉影响孕产妇健康结果。该项目响应了最近的呼吁，即调查公众对公共卫生的看法如何与患者在推动母亲健康和福利方面的经验相结合。该奖项反映了NSF的法定使命，并通过使用基金会的智力优势和更广泛的影响审查标准进行评估，被认为值得支持。

Maternal mortality has decreased significantly over the last century, yet remains highly variable, impacting how people understand and experience maternal healthcare. Significant research has shed light on how factors such as proximity to healthcare and socioeconomic status impact maternal health. Yet, maternal characteristics intersect with numerous other sociological variables and histories to impact how they use and experience maternal healthcare. This doctoral dissertation research investigates how variation in concepts of maternal health crises affects how women intersect with mainstream and alternative forms of healthcare. It trains a graduate student in scientific cultural anthropology theory and methods and disseminates findings broadly to academic and policy audiences. The researcher investigates how clinicians and patients understand concepts of maternal health crises and how this impacts delivery of and experiences of care. Using interviews and participant observation, the investigator asks: how individual factors intersect to affect patient experiences; how clinicians’ understandings of crises impact maternal healthcare; and how patient and clinician experiences intersect in shaping maternal health outcomes. The project is responsive to recent calls to investigate how perceptions of public health articulate with patient experiences in driving health and welfare among mothers.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.