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道德经济与道德资本:理解卫生系统的新途径。

Moral economy and moral capital: A new approach to understanding health systems.

机构信息

University of Otago, New Zealand.

University of Otago, New Zealand.

出版信息

Soc Sci Med. 2024 Jul;352:117016. doi: 10.1016/j.socscimed.2024.117016. Epub 2024 May 21.

DOI:10.1016/j.socscimed.2024.117016
PMID:38796950
Abstract

Healthcare systems can be considered moral economies in which moral capital in the form of expectations toward norms, values, and virtues are exchanged and traded. Moral capital, as a concept, is an extension of Bourdieu's forms of symbolic, and in particular, cultural capital. This research set out to identify forms of moral capital evident in the accounts of health professionals and patients within the distinctive healthcare systems of Germany, New Zealand, and the Unites States. Here, we provide an overview of 15 forms of moral capital that were identified. An important form of moral capital is equality. The global coronavirus pandemic has illuminated inequalities in healthcare systems across the world. We suggest considering moral capital as a useful tool to reform healthcare systems and make the provision of healthcare a more equitable enterprise.

摘要

医疗保健系统可以被视为道德经济,其中以规范、价值观和美德的期望形式存在的道德资本被交换和交易。道德资本作为一个概念,是布迪厄的符号资本形式的延伸,特别是文化资本。本研究旨在确定在德国、新西兰和美国这三个具有独特医疗保健系统的国家中,健康专业人员和患者的叙述中存在的道德资本形式。在这里,我们提供了已确定的 15 种道德资本形式的概述。一种重要的道德资本形式是平等。全球冠状病毒大流行揭示了世界各国医疗保健系统中的不平等现象。我们建议将道德资本视为改革医疗保健系统和使医疗保健服务更公平的有用工具。

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