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

stefan TimmermansTara mckay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。本论文考察了国家之间的紧张关系和联系如何影响卫生规划优先事项的扩散。本研究使用了一个利用四波联合国国家进展报告的新数据集，考虑了国家和精英之间的组织联系如何影响了卫生规划优先事项的扩散，并测试了组织联系与其他突出的社会变革理论的作用。此外，该研究采用原始调查和人种学数据，仔细检查组织和民众抵制全球卫生优先事项扩散的社会基础。这项研究的智力价值在于它关注的是在三个不同的层面（跨国精英、政府和非政府组织以及普通公民）为正在进行的全球卫生政策优先事项的构建和传播提供信息的社会进程。本研究借鉴了关于卫生的社会学文献，以便了解宏观社会力量如何影响卫生政策优先事项的确定。该研究还将关于制度同构的组织文献与社会变革和扩散的其他理论结合起来，以便重建采用和抵制全球卫生政策优先事项的途径。更广泛的影响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。它们影响着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预防疾病传播的政策，以及管制治疗方法等的政策，由于地方各级执行情况的不同，其效力差别很大。如果取得成功，这项研究的结果可能会使我们了解全球卫生政策的制定，如何确定被认为有风险的人群，以及政策目标与政策结果脱钩的条件。

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.