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一线专业人员围绕公民客户社会经济状况使用何种推理:探究机制

What Reasoning Do Frontline Professionals Use Around Citizen‐Clients' Socioeconomic Status: Exploring the Mechanisms

Public Administration · 2025
被引 1
ABS 4

中文导读

研究全科医生如何利用患者的社会经济地位进行决策,通过定性访谈识别出三种推理模式:地位维持、社会距离和共同推理,有助于理解一线专业人员的决策机制。

Abstract

ABSTRACT This paper examines socioeconomic status (SES) as an indicator for decision‐making among frontline professionals in healthcare, focusing on general practitioners (GPs). Aside from research on stereotypes, we know little about how frontline professionals reason about SES in decision‐making. This study addresses this gap by investigating how GPs use SES to develop care for patients with varying SES backgrounds. Based on qualitative interviews, the study identifies three SES reasonings that are closely intertwined with the status of patients: (1) status preservation reasoning describes how GPs interpret SES cues and status stability in relation to what needs to be preserved, (2) social distance reasoning helps explain how social distance creates a reference point when helping the patient, and (3) together reasoning describes how GPs use patients' busyness and educational level to develop treatment plans together with the patient. This study contributes to the existing literature by distinguishing SES reasonings in frontline professionals' decision‐making.

医疗保健社会经济地位决策推理全科医生