医疗把关与财务把关：在药房柜台应对专业意外情况

Medical versus fiscal gatekeeping: navigating professional contingencies at the pharmacy counter.

作者信息

Chiarello Elizabeth

机构信息

Assistant Professor of sociology at Saint Louis University where she researches institutional influences on health care decision-making.

出版信息

J Law Med Ethics. 2014 Winter;42(4):518-34. doi: 10.1111/jlme.12173.

DOI:10.1111/jlme.12173

PMID:25565618

Abstract

This paper theorizes that care provision depends on the set of "contingencies," or organizational and institutional structures, rules, narratives, and routines, surrounding professional work. Drawing on 95 interviews with U.S. pharmacists, I demonstrate how pharmacists prioritize specific contingencies and reveal how ethical decision-making depends on both organizational positioning and locus in inter-professional hierarchies.

摘要

本文提出理论，认为护理服务取决于围绕专业工作的一系列“意外情况”，即组织和制度结构、规则、叙事及常规。通过对95位美国药剂师的访谈，我展示了药剂师如何对特定意外情况进行优先排序，并揭示了道德决策如何既取决于组织定位，又取决于在跨专业层级中的位置。