比较视角下的医疗保健系统：分类、趋同、制度、不平等及五个失误转向
Healthcare Systems in Comparative Perspective: Classification, Convergence, Institutions, Inequalities, and Five Missed Turns.
作者信息
Beckfield Jason, Olafsdottir Sigrun, Sosnaud Benjamin
机构信息
Harvard University.
Boston University.
出版信息
Annu Rev Sociol. 2013 Jul;39:127-146. doi: 10.1146/annurev-soc-071312-145609. Epub 2013 May 17.
Abstract
This essay reviews and evaluates recent comparative social science scholarship on healthcare systems. We focus on four of the strongest themes in current research: (1) the development of typologies of healthcare systems, (2) assessment of convergence among healthcare systems, (3) problematization of the shifting boundaries of healthcare systems, and (4) the relationship between healthcare systems and social inequalities. Our discussion seeks to highlight the central debates that animate current scholarship and identify unresolved questions and new opportunities for research. We also identify five currents in contemporary sociology that have not been incorporated as deeply as they might into research on healthcare systems. These five "missed turns" include an emphasis on social relations, culture, postnational theory, institutions, and causal mechanisms. We conclude by highlighting some key challenges for comparative research on healthcare systems.
摘要
本文回顾并评估了近期关于医疗保健系统的比较社会科学学术研究。我们聚焦于当前研究中四个最为突出的主题：（1）医疗保健系统类型学的发展；（2）医疗保健系统之间趋同性的评估；（3）医疗保健系统边界变化的问题化；（4）医疗保健系统与社会不平等之间的关系。我们的讨论旨在突出推动当前学术研究的核心辩论，并识别未解决的问题和新的研究机会。我们还指出了当代社会学中的五个趋势，它们在医疗保健系统研究中的融入程度尚未达到应有的深度。这五个“错失的转向”包括对社会关系、文化、后民族国家理论、制度和因果机制的强调。我们通过强调医疗保健系统比较研究面临的一些关键挑战来结束本文。
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