SOCIAL ORGANIZATION OF DUTCH MATERNITY CARE

荷兰的产妇护理系统是一个迷人的领域，社会学 研究结合了低技术，助产士协助的家庭， 在地区医院使用最先进的高技术进行分娩。 在 在高成本医疗的时代，这个系统是独一无二的：它降低了成本 同时持续提供世界上最低的围产期之一， 死亡率。 到目前为止，还没有人解释为什么助产士协助家庭 荷兰的出生率持续上升（而其他所有现代， 工业化国家远离家庭出生），也没有 仔细研究荷兰提供产妇护理的方法， 进化了 利用档案资料，沿着采访和观察，我 对荷兰产妇护理进行社会学分析将改善我们的 了解医疗系统的社会塑造，并将提供 美国产妇保健改革的具体指导方针 States. 根据我的外国担保人的推荐，我将做三个 访问荷兰：最初三个月的访问，收集统计数据 第二次（六个月）访问， 访谈并进行观察;最后一次（三个月）访问， 必要的后续行动，并允许在书面上密切合作。

The Dutch maternity care system is a fascinating field for sociological research combining as it does low-technology, midwife-assisted home births with state of the art, high technology in regional hospitals. In an age of high cost medicine this system is unique: it keeps costs down while consistently delivering one of the world's lowest perinatal mortality rates. To date no one has explained why midwife-assisted home births persisted in the Netherlands (while every other modern, industrialized nation moved away from home birth), nor has there been careful study of how the Dutch method of delivering maternity care evolved. Using archival data along with interviews and observation, my sociological analysis of Dutch maternity care will improve our understanding of the social shaping of medical systems and will offer specific guidelines for the reform of maternity care in the United States. On the recommendation of my foreign sponsor, I will make three visits to Holland: an initial three month visit for gathering statistical data and arranging interviews; a second (six month) visit to conduct interviews and make observations; and a final (three month) visit to do necessary follow-up and to allow close collaboration in writing.