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安置关怀:在为移民和难民患者设立的医院诊所中体现建筑理念。

Placing care: embodying architecture in hospital clinics for immigrant and refugee patients.

作者信息

Bell Susan E

机构信息

Department of Sociology, Drexel University, USA.

出版信息

Sociol Health Illn. 2018 Feb;40(2):314-326. doi: 10.1111/1467-9566.12604.

DOI:10.1111/1467-9566.12604
PMID:29464770
Abstract

This article is part of a hospital ethnography that investigates healthcare architecture as an aspect of an increasingly large, complex, and urgent global health issue: caring for refugees and other immigrants. It argues that hospitals are nodes in transnational social networks of immigrant and refugee patients that form assemblages of human and non-human objects. These assemblages co-produce place-specific hospital care in different hospital spaces. Place-specific tensions and power dynamics arise when refugees and immigrants come into contact with these biomedical spaces. The argument is developed by analysing waiting rooms and exam rooms in two outpatient clinics in one US hospital. The article draws its analysis from 9 months of fieldwork in 2012 that included following 69 adult immigrant and refugee patients and observing their encounters with interpreters and clinic staff. Its inclusion of a transnational dimension for understanding place-specific hospital care adds conceptual and empirical depth to the study of how place matters in 21st century hospitals.

摘要

本文是医院人种志的一部分,该人种志将医疗建筑作为一个日益庞大、复杂且紧迫的全球健康问题的一个方面来研究:照顾难民和其他移民。文章认为,医院是移民和难民患者跨国社会网络中的节点,这些网络形成了人类和非人类对象的集合。这些集合在不同的医院空间中共同产生特定场所的医院护理。当难民和移民与这些生物医学空间接触时,就会出现特定场所的紧张关系和权力动态。通过分析美国一家医院的两个门诊诊所的候诊室和检查室来展开这一论点。本文的分析来自2012年为期9个月的实地调查,其中包括跟踪69名成年移民和难民患者,并观察他们与口译员和诊所工作人员的接触。其纳入跨国维度以理解特定场所的医院护理,为研究场所如何在21世纪的医院中发挥作用增添了概念和实证深度。

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