迁移、医疗偏好与转诊体系:角色同化的网络理论

Migration, Medical Care Preferences and the Lay Referral System: A Network Theory of Role Assimilation

American Sociological Review · 1986
被引 88
FT 50ABS 4★

中文导读

提出角色同化的三阶段模型(期望、幻灭、调和),并用台湾1970年618人的迁移与医疗偏好数据验证网络机制,发现迁移者的医疗偏好变化与社交网络变化一致。

Abstract

This paper documents a recurring but often overlooked pattern in adult socialization and proposes the mechanism that produces this regularity in role assimilation. Three broad stages (Expectancy, Disillusionment and Reconciliation) produce a curvilinear pattern over time in the adoption of ideal-typical role attitudes, beliefs and values. The migration of individuals to and from urban areas and their medical care preferences provide a unique case for the illustration of two crucial, organizational elements of the socialization process: context and networks. Data from Taiwan (1970, N= 618) indicate that for both in-migrants and out-migrants, preferences for western as opposed to indigenous medical care parallel proposed changes in initiate networks. The pattern is neither smooth nor unidimensional nor the same between contexts. Additional analyses that incorporate Granovetter's (1973) strength of weak ties idea are consistent with the network explanation. The concluding discussion focuses on factors that might influence the duration of and fluctuation between socialization stages.

迁移医疗偏好社会网络角色同化社会化