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首页> 外文期刊>East Asian science, technology and society: an international journal >Colonizing Safety: Creating Risk through the Enforcement of Biomedical Constructions of Safety
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Colonizing Safety: Creating Risk through the Enforcement of Biomedical Constructions of Safety

机译：殖民安全：通过加强生物医学安全性建设创造风险

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摘要

In the normative health care discourse, safety is represented as a concept that is at once universal, irrefutable, and inherently beneficent. Yet, research at local levels in the Philippines challenges these assumptions embedded in the biomedical construction of safety. This article examines how the imposition of a biomedical construction of safety onto a given local group, which does not share this construction of safety, can affect the local group. Specifically, this article examines the application of the biomedical construction of safety to the regulation and control of local nonbiomedical practices and practitioners in the rural Philippines. This twenty-twomonth field research was carried out through interviews, focus groups, and participant observation within communities of four rural municipalities in the Philippines and with stakeholders at state and multilateral levels. The case study of the implementation of safe delivery through the insistence on in-facility birthing with “skilled birth attendants” and the cessation of training for traditional birth attendants provides an illustrative example of the need for more nuanced and complex understandings of safety and risk within any given context. This research identifies that the enforcement of an etic conception of safety onto any given group can, ultimately, compromise the safety of that group.
机译：在规范性的卫生保健话语中，安全性被表示为一个既普遍，不可辩驳又从本质上讲是善意的概念。然而，菲律宾地方一级的研究挑战了安全性生物医学构造中所包含的这些假设。本文研究了将安全的生物医学结构施加到给定的本地组（不共享这种安全结构）如何影响本地组。特别是，本文探讨了生物医学安全体系在菲律宾农村地区对当地非生物医学实践和从业人员的监管中的应用。这项为期22个月的实地研究是通过在菲律宾四个农村城市的社区内与州和多边利益相关者进行的访谈，焦点小组和参与者观察进行的。通过坚持与“熟练的接生员”在设施内分娩并停止对传统接生员进行培训来实施安全分娩的案例研究，提供了一个例证性示例，说明了在内部需要对安全性和风险进行更细致和复杂的理解的情况任何给定的上下文。这项研究表明，对任何给定的小组实施安全性概念，最终可能会损害该小组的安全。

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