Diagnostic ecologies: Medical standards, tinkering, and worker health in Turkey.

IF 2 2区 社会学 Q1 ANTHROPOLOGY Medical Anthropology Quarterly Pub Date : 2024-12-02 DOI:10.1111/maq.12903
Zeynel Gül
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Abstract

In Turkey's occupational health system, doctors must use the International Labor Organization's (ILO) standards to classify the chest radiographs of workers at risk of lung diseases caused by dust exposure. Yet these standards do not provide a uniformity of care within the tripartite structure of the occupational health system, which divides disease surveillance, disease diagnosis, and worker compensation into distinct silos. This division often produces ambiguity and unpredictable outcomes for occupational disease claims. The traffic of diagnostic decisions among workplaces and medico-legal institutions-what I refer to as diagnostic ecologies-shapes medical knowledge. The tripartite organization of the occupational health system in Turkey makes the evaluation of chest radiographs a space where professional expertise and professional ethics are constantly negotiated. A focus on diagnostic ecologies illustrates how disease ontology is distributed across the occupational health system's components.

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诊断生态学:土耳其的医疗标准、修补和工人健康。
在土耳其的职业卫生系统中,医生必须使用国际劳工组织(ILO)的标准对有粉尘暴露导致肺部疾病风险的工人的胸部x光片进行分类。然而,这些标准并没有在职业卫生系统的三方结构中提供统一的护理,这种结构将疾病监测、疾病诊断和工人赔偿划分为不同的筒仓。这种划分通常会导致职业病索赔的模糊性和不可预测的结果。工作场所和医疗-法律机构之间的诊断决策的交流——我称之为诊断生态——塑造了医学知识。土耳其职业卫生系统的三方组织使胸部x光片的评估成为不断协商专业知识和职业道德的空间。对诊断生态学的关注说明了疾病本体如何分布在职业卫生系统的组成部分。
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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
56
期刊介绍: Medical Anthropology Quarterly: International Journal for the Analysis of Health publishes research and theory in the field of medical anthropology. This broad field views all inquiries into health and disease in human individuals and populations from the holistic and cross-cultural perspective distinctive of anthropology as a discipline -- that is, with an awareness of species" biological, cultural, linguistic, and historical uniformity and variation. It encompasses studies of ethnomedicine, epidemiology, maternal and child health, population, nutrition, human development in relation to health and disease, health-care providers and services, public health, health policy, and the language and speech of health and health care.
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