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跨部门伙伴关系的地点与构建:医疗保健与无家可归问题上的道德与物质冲突

Place and the Structuring of Cross-Sector Partnerships: The Moral and Material Conflicts Over Healthcare and Homelessness.

作者信息

Awad M Hassan

机构信息

Management Department, The College of Business and Economics, California State University, Los Angeles, Los Angeles, CA 90032 USA.

出版信息

J Bus Ethics. 2023;184(4):933-955. doi: 10.1007/s10551-023-05360-w. Epub 2023 Mar 2.

DOI:10.1007/s10551-023-05360-w
PMID:37168486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9979898/
Abstract

Local places, such as communities, cities, and towns, host many cross-cross sector partnerships, many geared primarily toward alleviating local social and environmental issues. Yet, existing literatures focus predominantly on largescale systemic impact and global challenges such as climate change, paying scant attention to the role of local, geographically bounded dynamics in shaping these partnerships. In this article, I conceptualize places as geographic locations imbued with specific meaning systems and material resources to unpack how local embeddedness shape the structure of cross-sector partnerships. Specifically, I investigate how place-based conflict, arising from tensions between the moral and material aspects of a partnership, can shape formalized aspects of organizational structure. These include the scope of operations, partners' roles, and shared resources. I unpack these relationships using a case study of Occupy Medical, a local partnership between the civic society and the local government in Eugene, Oregon, tackling the problem of providing healthcare to the homeless and other marginalized and disenfranchised communities. The analysis covers the nine-year period of 2011-2020 and spans three major restructurings of the organization, the latest prompted by the onset of the COVID-19 pandemic in March 2020. I theorize two forms of structural arrangements for cross-sector partnerships, confined and leveraged, and further elaborate on the role of cross-sector partnerships in crises response on the local level.

摘要

诸如社区、城市和城镇等地方存在着许多跨部门伙伴关系,其中许多主要旨在缓解当地的社会和环境问题。然而,现有文献主要关注大规模的系统性影响和全球挑战,如气候变化,而很少关注地域有限的地方动态在塑造这些伙伴关系中所起的作用。在本文中,我将地方概念化为具有特定意义系统和物质资源的地理位置,以剖析地方嵌入性如何塑造跨部门伙伴关系的结构。具体而言,我研究源于伙伴关系的道德和物质层面之间紧张关系的基于地方的冲突如何塑造组织结构的形式化方面。这些方面包括业务范围、伙伴角色和共享资源。我通过对“占领医疗”的案例研究来剖析这些关系,“占领医疗”是俄勒冈州尤金市公民社会与地方政府之间的地方伙伴关系,致力于解决为无家可归者以及其他边缘化和被剥夺权利的社区提供医疗保健的问题。分析涵盖了2011年至2020年的九年时间,跨越了该组织的三次重大重组,最近一次重组是由2020年3月新冠疫情的爆发引发的。我提出了跨部门伙伴关系的两种结构安排形式,即受限型和杠杆型,并进一步阐述了跨部门伙伴关系在地方危机应对中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e45a/9979898/c9b8e8bd3be0/10551_2023_5360_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e45a/9979898/c9b8e8bd3be0/10551_2023_5360_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e45a/9979898/c9b8e8bd3be0/10551_2023_5360_Fig1_HTML.jpg

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本文引用的文献

1
COVID-19: a potential public health problem for homeless populations.新型冠状病毒肺炎:无家可归人群面临的潜在公共卫生问题。
Lancet Public Health. 2020 Apr;5(4):e186-e187. doi: 10.1016/S2468-2667(20)30053-0. Epub 2020 Mar 11.
2
Capturing Collaborative Challenges: Designing Complexity-Sensitive Theories of Change for Cross-Sector Partnerships.捕捉合作挑战:为跨部门伙伴关系设计对复杂性敏感的变革理论
J Bus Ethics. 2018;150(2):315-332. doi: 10.1007/s10551-018-3857-7. Epub 2018 Apr 9.
3
Cross-Sector Partnerships for Systemic Change: Systematized Literature Review and Agenda for Further Research.
促进系统性变革的跨部门伙伴关系:系统化文献综述与进一步研究议程
J Bus Ethics. 2018;150(2):303-313. doi: 10.1007/s10551-018-3922-2. Epub 2018 Jun 1.