Organizational Constructions of a New Right

基于健康的权利的新主张已经成为动员和争议的中心。这项研究考察了卫生保健环境中强加的新权利。它将对(1)权利的组织结构和(2)健康与权利的关系的研究做出智力贡献。它涉及到关于法律、健康和权利之间相互联系的重大问题，并在法律创新的时刻调查了一个新的地点。这些假设将研究的洞察力融入到组织争端处理中。研究设计的目的是抓住这样一个事实，即对新颁布的权利的适应在不同类型的保健组织之间可能有很大的不同，并直接涉及保健环境中固有的独特特征。该项目的目标是了解医疗机构如何适应新权利的施加。这项研究是以社会学理论为基础的，这些理论强调“实地法律”(即人们实际在做什么)，而不是“书面法律”(正式法律规则)，以此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保健机构可能会对这些规定有不同的解读。原始数据将以120次面对面采访的形式在全国选定的地区收集，采访医院、医生办公室和外科中心的指定申诉处理人员。例如，这项研究将包括城市和农村卫生保健场所，以及私立宗教医院和公立医院。对采访记录的系统分析将帮助研究人员了解卫生保健管理者如何处理其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、地点、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.