医疗服务的可及性:分析希腊偏远地区居民和流动医疗站专业人员的访谈内容。

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Journal of Health Psychology Pub Date : 2025-04-01 Epub Date: 2024-07-27 DOI:10.1177/13591053241266384
Evangelia Sofia Vergouli, Lia Figgou, Panagiotis Koulouvaris, Nikolaos Scarmeas
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引用次数: 0

摘要

本研究探讨了社会行动者是如何造成医疗服务的社会心理障碍的。研究采用批判性话语社会心理学的工具和概念,分析了对希腊偏远地区 17 名居民和流动医疗队 12 名专业人员的访谈。分析表明,出于不同的责任关切,居民倾向于将不愿寻求医疗帮助归因于结构性障碍,而专业人员则倾向于以心理和个人为中心的解释。研究结果还强调,生活在偏远地区既是居民实现健康的 "良方",也是 "诅咒",偏远社区既加强了团结和社会支持,也助长了对疾病和社会隔离的鄙视。本研究以先前的健康心理学中以话语为导向的方法为基础,试图举例说明如何利用以话语和修辞为导向的研究议程来探索健康不平等是如何在社会互动中形成和(重新)产生的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Accounting for access to healthcare: Analyzing interview talk of hard-to-reach regions' residents and mobile medical units' professionals in Greece.

This study explores how social actors account for psychosocial barriers to healthcare access. Interviews with 17 residents in remote regions of Greece and 12 professionals employed by Mobile Medical Units were analyzed using the tools and concepts of critical discursive social psychology. Analysis indicated that, oriented to different accountability concerns, residents tended to attribute reluctance to seek medical help to structural barriers, while professionals leaned toward psychological and individual-centered explanations. Findings also highlighted the construction of living in hard-to-reach areas as both a "cure" and a "curse" for residents' capacity to achieve a healthy status, representing remote communities as both enhancing solidarity and social support and as promoting stigmatization against illness and social isolation. Building upon prior discourse-oriented approaches in health psychology, the study seeks to exemplify how a discursive and rhetorically oriented research agenda can be employed to explore how health inequalities are enacted and (re)produced in social interactions.

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来源期刊
Journal of Health Psychology
Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
3.10%
发文量
81
期刊介绍: ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.
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