不信任的依赖:不信任作为风险管理在意大利急诊科。

IF 1.5 3区社会学 Q2 ANTHROPOLOGY

Medical Anthropology Pub Date : 2023-08-18 DOI:10.1080/01459740.2023.2240942

Mirko Pasquini

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引用次数: 0

摘要

不信任日益成为全球医疗保健服务的日常现实。然而，作为一种关系形式和一种自身的力量，它仍然没有得到充分的研究。我通过意大利急诊科(ED)的民族志来解决这一差距，自2008年金融危机以来，该部门的冲突有所增加。我展示了不信任如何不会导致医疗保健互动的崩溃。相反，在矛盾的护理关系中，不信任被用来协商角色、风险和病人和工作人员愿意委托给他人的权力。不信任表现在“不信任依赖”关系中的风险管理策略中。

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Mistrustful Dependency: Mistrust as Risk Management in an Italian Emergency Department.

Mistrust is increasingly a daily reality of healthcare delivery worldwide. Yet it remains understudied as a form of relationship and a force in its own right. I address this gap through the ethnography of an Italian Emergency Department (ED), where conflicts have increased since the 2008 financial crisis. I show how mistrust does not result in a breakdown of healthcare interactions. Rather, mistrust is used in ambivalent care relationships to negotiate the roles, the risks, and the power that patients and staff are willing to entrust to others. Mistrust manifests in risk management strategies within relationships of "mistrustful dependency."

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来源期刊

Medical Anthropology Multiple-

CiteScore

4.10

自引率

4.30%

发文量

期刊介绍： Medical Anthropology provides a global forum for scholarly articles on the social patterns of ill-health and disease transmission, and experiences of and knowledge about health, illness and wellbeing. These include the nature, organization and movement of peoples, technologies and treatments, and how inequalities pattern access to these. Articles published in the journal showcase the theoretical sophistication, methodological soundness and ethnographic richness of contemporary medical anthropology. Through the publication of empirical articles and editorials, we encourage our authors and readers to engage critically with the key debates of our time. Medical Anthropology invites manuscripts on a wide range of topics, reflecting the diversity and the expanding interests and concerns of researchers in the field.