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Moral Economy and Moral Capital in the Community of Clinical Practice

机译：临床实践中的道德经济与道德资本

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This New Zealand study used focused ethnography to explore the activities of communities of clinical practice (CoCP) in a community-based long-term conditions management program within a large primary health care clinic. CoCP are the informal vehicles by which patient care was delivered within the program. Here, we describe the CoCP as a micro-level moral economy within which values such as trust, respect, authenticity, reciprocity, and obligation circulate as a kind of moral capital. As taxpayers, citizens who become patients are credited with moral capital because the public health system is funded by taxes. This moral capital can be paid forward, accrued, banked, redeemed, exchanged, and forfeited by patients and their health care professionals during the course of a patient's journey. The concept of moral capital offers another route into the black box of clinical work by providing an alternative theoretic for explaining the relational aspects of patient care.
机译：这项新西兰研究了专注的民族志，探讨了在大型初级医疗保健诊所的社区长期条件管理计划中探讨了临床实践（COCP）的活动。 COCP是患者护理的非正式车辆在该计划中交付。 在这里，我们将COCP描述为一个微级道德经济，其中诸如信任，尊重，真实性，互惠和义务作为一种道德资本的价值观。 由于纳税人，成为患者的公民被融入道德资本，因为公共卫生系统由税收资助。 在患者的旅程中，这种道德资本可以向患者及其医疗保健专业人员支付，累计，银行，赎回，交换和没收。 道德资本的概念通过为解释患者护理的关系方面提供替代理论，提供了另一种临床工作的途径。

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