福利国家驱动“我”与“我们”医学——批判性话语分析

IF 1.3 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
M. Terkildsen, V. Burau, Ulla Væggemose, Nina Konstantin Nissen
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引用次数: 8

摘要

在“我”与“我们”医学的持续讨论背景下,本研究探讨了个性化医疗愿景、营利性公司和国家治理之间的关系。它以斯堪的纳维亚福利国家丹麦为实证出发点,并基于重要的公共和私人利益相关者的访谈、文件、网页和媒体来源进行了话语分析。分析表明,丹麦个性化医疗项目的发展在很大程度上是由国家推动的。虽然营利性公司也参与其中,但丹麦政府一手管理着个性化医疗项目的发展。这导致了一种以“我”和“我们”两种话语形式框架的个性化医疗形式。分析表明,福利国家在这些表达“我”和“我们”某些观念的话语中起着主导作用和控制作用。与其他研究相比,这些结果表明,福利国家在个性化医疗的发展中可能仍然发挥着重要作用,而在斯堪的纳维亚福利国家的情况下,这挑战了“我”与“我们”二分法的既定观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The welfare state driving “me” and “we” medicine – a critical discourse analysis
This study explored the relationship between visions of personalized medicine, for-profit companies, and state governance in the context of an ongoing discussion of “me” vs. “we” medicine. It took its empirical departure in a Scandinavian welfare state, Denmark, and a discourse analysis was conducted based on interviews, documents, webpages, and media sources from vital public and private stakeholders. The analysis demonstrated how the development of a program for personalized medicine in Denmark emerges as largely driven by the state. Although for-profit companies are involved, the Danish state governs the development of the personalized medicine program single-handedly. This results in a form of personalized medicine framed in both “me” and “we” discursive terms. The analysis revealed that the welfare state plays a dominating role and controls these discourses articulating certain ideas of “me” and “we.” When compared to other studies, these results showed how the role of welfare states may still remain potent in the development of personalized medicine, and in the case of a Scandinavian welfare state, this challenges established views of a “me” vs. “we” dichotomy.
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来源期刊
New Genetics and Society
New Genetics and Society 生物-生物工程与应用微生物
CiteScore
4.30
自引率
16.70%
发文量
19
审稿时长
>12 weeks
期刊介绍: New Genetics and Society: Critical Studies of Contemporary Biosciences is a world-leading journal which: -Provides a focus for interdisciplinary and multi-disciplinary, leading-edge social science research on the new genetics and related biosciences; -Publishes theoretical and empirical contributions reflecting its multi-faceted development; -Provides an international platform for critical reflection and debate; -Is an invaluable research resource for the many related professions, including health, medicine and the law, wishing to keep abreast of fast changing developments in contemporary biosciences. New Genetics and Society publishes papers on the social aspects of the new genetics (widely defined), including gene editing, genomics, proteomics, epigenetics and systems biology; and the rapidly developing biosciences such as biomedical and reproductive therapies and technologies, xenotransplantation, stem cell research and neuroscience. Our focus is on developing a better understanding of the social, legal, ethical and policy aspects, including their local and global management and organisation.
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