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管理美墨“边境健康”:一种组织领域方法。

Managing US-Mexico "border health": an organizational field approach.

作者信息

Collins-Dogrul Julie

机构信息

Sociology Department, University of California, Davis 1 Shields Avenue, Davis, CA 95616, USA.

出版信息

Soc Sci Med. 2006 Dec;63(12):3199-211. doi: 10.1016/j.socscimed.2006.07.031. Epub 2006 Sep 20.

DOI:10.1016/j.socscimed.2006.07.031
PMID:16987573
Abstract

During World War II Mexican and US health professionals and organizations constructed a transnational organizational field to manage the border's public health problems. Despite barriers to inter-organizational cooperation, including disparate administrative structures and North-South stratification, the field's transnational approach to health on the border has continued for 60 years. Using archival data to track changes in the number and types of organizations, this article argues that the field practitioners call "border health" reconfigured during the North American Free Trade Association (NAFTA) decade from an era of loosely organized professionals to a specialized bureaucracies era. This change brought new vitality to border health, with transnational ties increasing and diversifying, but has not weakened entrenched cross-border inequalities. The organizational history of the US-Mexico border health field demonstrates how macro-politics and inter-organizational stratification shape transnational public health problems.

摘要

第二次世界大战期间,墨西哥和美国的卫生专业人员及组织构建了一个跨国组织领域,以管理边境地区的公共卫生问题。尽管存在组织间合作的障碍,包括不同的行政结构和南北分层,但该领域针对边境地区卫生问题的跨国方法已持续了60年。本文利用档案数据追踪组织数量和类型的变化,认为从业者所称的“边境卫生”领域在北美自由贸易协定(NAFTA)的十年间,从一个由组织松散的专业人员构成的时代,重新配置为一个专业化官僚机构的时代。这一变化为边境卫生带来了新的活力,跨国联系不断增加且日益多样化,但并未削弱根深蒂固的跨境不平等现象。美墨边境卫生领域的组织历史表明了宏观政治和组织间分层如何塑造跨国公共卫生问题。

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