Resisting bureau - medicalisation: The integration of 'Spaces of Compassion' with the Biomedical Healthcare Environment

Comparative在提高患者满意度、帮助患者康复以及培养患者对自身健康的责任感方面提供了实质性益处（货车der Cingel，2011）。然而，在不断加速的向更高的“效率”、“工具性简化主义”和“技术官僚冷漠”的转变中，证明同情心的重要性是当代医疗保健服务提供中的一个关键挑战（Dutta等人，二〇一九年; Hensmans和货车Bommel，2020年）。拟议的项目借鉴了“抵抗地理”文献，以评估当地的同情空间与医院服务的整合，作为以社区为中心的应对医疗保健服务日益合理化和新自由主义化的反应。与英国西北部的NHS牧师团队合作，两位消费者文化，市场和健康研究的资深专家将监督博士生对同情空间所占据的政治和意识形态维度以及临床环境中多种，有时是竞争的身份，价值观和实践的持续纠缠的研究。全国范围内更高水平的疾病已经将英国的公共医疗转向“生物医学化”，Nathan和Webber（2010：15）将其定义为“[生物]医学模式和组织必要性的有效结合”。局医疗中心的财政纪律和净健康价值;一个主要以市场为中心的使命，以满足业务目标，通过执行大规模，高效和普遍的卫生服务，通过经验测量和管理评估告知跨上下文。然而，将护理等同于目标，评估护理提供者的表现，以及衡量和概括护理形式的动力，就其性质而言，既不适合量化也不具有普遍性，破坏和限制了临床环境中同情心的机会。

Compassion offers substantial benefits in terms of improving patient satisfaction, aiding patients' recovery, and engendering a sense of responsibility in patients for their own health (Van der Cingel, 2011). Nevertheless, justifying the importance of compassion amidst ever-accelerating shifts towards greater 'efficiency', 'instrumental reductionism', and 'technocratic apathy' represents a key challenge in contemporary healthcare service provision (Dutta et al., 2019; Hensmans and van Bommel, 2020).The proposed project draws upon 'geographies of resistance' literature to assess the local integration of compassionate spaces with hospital services as a community-centric response to increasing rationalisation and neoliberalisation of healthcare provision. In partnership with an NHS Chaplaincy team in the North-West of England, two senior experts in consumer culture, markets, & health studies will supervise a doctoral student's research on the political and ideological dimensions that compassionate spaces occupy and the ongoing entanglements of multiple, and sometimes competing, identities, values, and practices within clinical environments.Increasing budgetary pressures, an ageing population, and greater levels of illness nationally has shifted public healthcare in the UK towards "bureau-medicalisation", what Nathan and Webber (2010: 15) define as, "a potent combination of the [bio]medical model and organisational imperative". Bureau-medicalisation centres on fiscal discipline and net health value; a largely market-centric mission to meet operational targets through executing mass, efficient and generalisable health services informed by empirical measurement and managerial assessment across contexts. Yet the impetus to equate care with targets, to assess the performance of care providers, and to measure and generalise forms of care which, by their nature, are neither amenable to quantification nor generalisability, undermines and limits the opportunities for compassion in clinical settings.