首页> 外文期刊>Qualitative health research >'What happens on the van, stays on the van': the (re)structuring of privacy and disclosure scripts on an Appalachian mobile health clinic.
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'What happens on the van, stays on the van': the (re)structuring of privacy and disclosure scripts on an Appalachian mobile health clinic.

机译:“在面包车上发生的事情,留在面包车上”:在阿巴拉契亚移动健康诊所上隐私和披露脚本的(重新)结构。

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摘要

Over the past two decades, mobile health clinics have emerged to address the health needs of underserved populations. Mobile clinics offer curbside care in the primary settings of people's lives: churches, parking lots, grocery stores, and community centers. Drawing on 18 months of ethnographic fieldwork, I explore how physical and symbolic space helps shape the (re)writing of traditional health care scripts of provider-patient confidentiality and medical disclosure in a mobile clinic serving residents of 21 counties in southeastern Ohio. This analysis centered on how clinic staff members blurred the symbolic and physical space of privacy, merged personal and professional discourses, and triaged multiple patient disclosures in the face of social and spatial constraints.
机译:在过去的二十年中,出现了流动医疗诊所,以满足服务不足人群的健康需求。流动诊所在人们的主要生活环境中提供路边护理:教堂,停车场,杂货店和社区中心。借助18个月的人种志研究工作,我探索了物理和符号空间如何在服务于俄亥俄州东南部21个县的居民的流动诊所中塑造(重写)提供方-患者机密和医疗信息披露的传统医疗保健脚本。这项分析的重点是诊所工作人员如何模糊隐私的象征性和物理性空间,如何融合个人和专业话语,以及在面对社会和空间限制的情况下对多个患者信息进行分类。

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