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德国器官移植丑闻——组织不当行为的潜规则。

The German Organ Transplant Scandal - Unwritten rules of organizational wrongdoings.

机构信息

Max Weber Institute of Sociology, University of Heidelberg, Bergheimer Str. 58, 69115, Germany.

出版信息

Soc Sci Med. 2022 Jan;292:114577. doi: 10.1016/j.socscimed.2021.114577. Epub 2021 Nov 19.

Abstract

Using data from organ transplant medicine in Germany, we propose a method for understanding the content of unwritten rules supportive of violations of written rules in light of the "German Organ Transplant Scandal". Grounded in the sociology of organizational crime, we reconstruct the cultural repertoires of medical professionals working with organ allocation when confronted with the applicable guidelines using collective mindset analysis. Four dimensions of cognitive and normative rules of interpretation were identified and discussed as a an occupational-professional form of deviance. Apart from not relying on data from the alleged perpetrators and still gazing at the latent structures of meaning behind misconduct, our approach offers a more general methodological framework for empirical studies of the unwritten rules at work in an organizational field where wrongdoing has been reported.

摘要

利用德国器官移植医学的数据,我们针对“德国器官移植丑闻”提出了一种理解支持违反成文规则的不成文规则内容的方法。本研究根植于组织犯罪社会学,通过采用集体思维分析,重建了在面对适用指南时,器官分配中医疗专业人员的文化行为模式。我们确定并讨论了四个维度的认知和规范解释规则,将其视为职业性偏差。我们的方法不仅不依赖于被指控者的数据,而且仍然关注不当行为背后潜在的意义结构,为在有不当行为报告的组织领域中工作的不成文规则的实证研究提供了更一般的方法框架。

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