Monk Janice, Manning Patricia, Denman Catalina, Cornejo Elsa
Department of Geography and Regional Development, University of Arizona, Tucson, AZ 85721, USA.
Health Place. 2009 Sep;15(3):769-76. doi: 10.1016/j.healthplace.2008.12.006. Epub 2009 Jan 9.
Improving health care in the Mexican-US transborder region presents challenges not only of harmonization of systems but differences in values and expectations for policies. We explore the contrasting and overlapping views of health experts in both countries regarding the ways in which geographic location, scale, and professional roles shape their notions of the region, priorities for women's health, and interpretations of the socio-cultural concept of gender in relation to health. The study is based on interviews with legislators, health administrators, health advocates, and researchers on each side of the border. We suggest ways in which more nuanced perspectives might be brought to bear in the policy discourses on the region.
改善墨西哥与美国边境地区的医疗保健不仅面临着医疗体系协调的挑战,还存在价值观和政策期望方面的差异。我们探讨了两国健康专家对于地理位置、规模和专业角色如何塑造他们对该地区的认知、妇女健康优先事项以及与健康相关的社会文化性别概念解读的不同和重叠观点。该研究基于对边境两侧的立法者、卫生管理人员、健康倡导者和研究人员的访谈。我们提出了一些方法,以便在关于该地区的政策讨论中引入更细致入微的观点。