Pub Date : 2021-03-16DOI: 10.12759/HSR.46.2021.1.35-58
P. Batifoulier, J. Domin, Amandine Rauly
{"title":"Erosion of Solidarity in France and Welfare Conventions: The New Role of Complementary Health Insurance.","authors":"P. Batifoulier, J. Domin, Amandine Rauly","doi":"10.12759/HSR.46.2021.1.35-58","DOIUrl":"https://doi.org/10.12759/HSR.46.2021.1.35-58","url":null,"abstract":"","PeriodicalId":47073,"journal":{"name":"Historical Social Research-Historische Sozialforschung","volume":"46 1","pages":"35-58"},"PeriodicalIF":0.9,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43466564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12759/HSR.46.2021.1.85-111
N. Silva
This article seeks to analyze the evolution of the regulation of liberal medicine in France from the theoretical framework of the economics of convention. The recent introduction by the state of multiple management devices aimed at quantifying and evaluating the performance of physicians could be interpreted as a process of rationalization of medical practices. However, we propose to analyze the transformations in the regulation of liberal medicine as the transition from an inspired/domestic convention of healthcare quality to an industrial convention of healthcare quality. What is at stake is not improving the quality of care, but changing the conception of quality. Do doctors treat sick people or illnesses? This induces significant changes not only in the entire healthcare system but also in medical ethics. While the profession has historically been built against the market, it seems that the industrialization of healthcare opens the door to its commodification.
{"title":"The Industrialization of \"Liberal Medicine\" in France: A Labor Quality Conventions Approach","authors":"N. Silva","doi":"10.12759/HSR.46.2021.1.85-111","DOIUrl":"https://doi.org/10.12759/HSR.46.2021.1.85-111","url":null,"abstract":"This article seeks to analyze the evolution of the regulation of liberal medicine in France from the theoretical framework of the economics of convention. The recent introduction by the state of multiple management devices aimed at quantifying and evaluating the performance of physicians could be interpreted as a process of rationalization of medical practices. However, we propose to analyze the transformations in the regulation of liberal medicine as the transition from an inspired/domestic convention of healthcare quality to an industrial convention of healthcare quality. What is at stake is not improving the quality of care, but changing the conception of quality. Do doctors treat sick people or illnesses? This induces significant changes not only in the entire healthcare system but also in medical ethics. While the profession has historically been built against the market, it seems that the industrialization of healthcare opens the door to its commodification.","PeriodicalId":47073,"journal":{"name":"Historical Social Research-Historische Sozialforschung","volume":"46 1","pages":"85-111"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66514622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12759/HSR.46.2021.1.59-84
P. Batifoulier, L. Braddock, Victor Duchesne, Ariane Ghirardello, J. Latsis
Patients suffering from “lifestyle” conditions are most often viewed as responsible for their illness, and so not considered to be a priority for healthcare resources. Instead, their treatment is financed on instrumental grounds: it is better to treat the condition now than to incur higher costs later of not doing so. An alternative register of justification at work in public healthcare policies is not motivated by instrumental considerations. Instead, it seeks to articulate an ethical case for prioritizing lifestyle conditions. Within this framework, we draw on the notion of vital need within the tradition of humanistic philosophy to argue that solidarity justifies the treatment of such conditions, exemplified here by obesity. We use the theoretical framework of economics of convention to present these two registers of justification at work in public healthcare policies. The importance of humanistic criticism prevents instrumental logic from being completely dominant.
{"title":"“Targeting Lifestyle\" Conditions: What Justifications for Treatment?","authors":"P. Batifoulier, L. Braddock, Victor Duchesne, Ariane Ghirardello, J. Latsis","doi":"10.12759/HSR.46.2021.1.59-84","DOIUrl":"https://doi.org/10.12759/HSR.46.2021.1.59-84","url":null,"abstract":"Patients suffering from “lifestyle” conditions are most often viewed as responsible for their illness, and so not considered to be a priority for healthcare resources. Instead, their treatment is financed on instrumental grounds: it is better to treat the condition now than to incur higher costs later of not doing so. An alternative register of justification at work in public healthcare policies is not motivated by instrumental considerations. Instead, it seeks to articulate an ethical case for prioritizing lifestyle conditions. Within this framework, we draw on the notion of vital need within the tradition of humanistic philosophy to argue that solidarity justifies the treatment of such conditions, exemplified here by obesity. We use the theoretical framework of economics of convention to present these two registers of justification at work in public healthcare policies. The importance of humanistic criticism prevents instrumental logic from being completely dominant.","PeriodicalId":47073,"journal":{"name":"Historical Social Research-Historische Sozialforschung","volume":"46 1","pages":"59-84"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66514185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12759/HSR.46.2021.1.230-260
V. Cappel
{"title":"The Plurality of Daily Digital Health: The Emergence of a New Form of Health Coordination","authors":"V. Cappel","doi":"10.12759/HSR.46.2021.1.230-260","DOIUrl":"https://doi.org/10.12759/HSR.46.2021.1.230-260","url":null,"abstract":"","PeriodicalId":47073,"journal":{"name":"Historical Social Research-Historische Sozialforschung","volume":"46 1","pages":"230-260"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66514419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12759/HSR.46.2021.3.7-22
F. Gülzau, Steffen Mau, K. Korte
{"title":"Borders as Places of Control: Fixing, Shifting and Reinventing State Borders; An Introduction","authors":"F. Gülzau, Steffen Mau, K. Korte","doi":"10.12759/HSR.46.2021.3.7-22","DOIUrl":"https://doi.org/10.12759/HSR.46.2021.3.7-22","url":null,"abstract":"","PeriodicalId":47073,"journal":{"name":"Historical Social Research-Historische Sozialforschung","volume":"46 1","pages":"7-22"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66515064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12759/HSR.46.2021.1.112-135
P. Streckeisen
Abstract: »Medizin und Wirtschaftswissen: Die Relevanz der Karriere für das Studium der Transformationen im Gesundheitssystem« . This contribution highlights the relevance of biographical research for the economic sociology of the healthcare system. In particular, the economy of conventions could be enriched by an approach that is suitable for studying the actors of economic coordination as well as for analyzing the significance of economic knowledge within the framework of specific conventions. This contribution is based on an exploratory study on the economization of the healthcare system in Switzerland. Biographical interviews were conducted with 14 influential experts and senior managers. The careers of four physicians with a strong vocation to influence the public healthcare system are presented. In the concluding discussion, the findings are compared with economic sociology research on the healthcare system in the US and France. The conclusion states that the biographical perspective brings additional aspects into light that are not taken into account by more traditional concepts and methods of economic sociology.
摘要:《Medizin and Wirtschaftswissen: Die Relevanz der Karriere frs das Studium der Transformationen im Gesundheitssystem》。这一贡献突出了传记研究对医疗保健系统经济社会学的相关性。特别是，公约的经济性可以通过一种适合于研究经济协调的行为者以及在具体公约的框架内分析经济知识的意义的方法而得到丰富。这一贡献是基于对瑞士医疗保健系统的经济化的探索性研究。对14位有影响力的专家和高级管理人员进行了传记访谈。四个医生的职业生涯与一个强大的职业影响公共医疗保健系统提出。在结束语的讨论中，将研究结果与美国和法国医疗保健系统的经济社会学研究进行了比较。结论指出，传记视角带来了更传统的经济社会学概念和方法没有考虑到的其他方面。
{"title":"Medicine and economic knowledge : the relevance of career in the study of transformations in the healthcare system","authors":"P. Streckeisen","doi":"10.12759/HSR.46.2021.1.112-135","DOIUrl":"https://doi.org/10.12759/HSR.46.2021.1.112-135","url":null,"abstract":" Abstract: »Medizin und Wirtschaftswissen: Die Relevanz der Karriere für das Studium der Transformationen im Gesundheitssystem« . This contribution highlights the relevance of biographical research for the economic sociology of the healthcare system. In particular, the economy of conventions could be enriched by an approach that is suitable for studying the actors of economic coordination as well as for analyzing the significance of economic knowledge within the framework of specific conventions. This contribution is based on an exploratory study on the economization of the healthcare system in Switzerland. Biographical interviews were conducted with 14 influential experts and senior managers. The careers of four physicians with a strong vocation to influence the public healthcare system are presented. In the concluding discussion, the findings are compared with economic sociology research on the healthcare system in the US and France. The conclusion states that the biographical perspective brings additional aspects into light that are not taken into account by more traditional concepts and methods of economic sociology.","PeriodicalId":47073,"journal":{"name":"Historical Social Research-Historische Sozialforschung","volume":"46 1","pages":"112-135"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66514210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12759/HSR.46.2021.1.136-159
Tine Hanrieder, Eloisa Montt Maray
The introduction of digital technology has sparked new debates about the value of community health workers in low-and-middle-income countries. This debate offers important insights into the conventions that are relevant in global public health. Community health workers, a workforce that was already celebrated during the 1970s Primary Health Care movement, are having a remarkable revival in recent years, and myriad actors seek to boost their impact through mobile devices. Our content analysis of the public health literature evaluating this impact reveals the centrality of attempts at reconciling equity and cost effectiveness concerns, and thus considerable normative tensions. Additionally, we find that discussions about “domestic” values such as privacy and gender roles come with a paternalistic undertone, calling for feminist and postcolonial engagement with the digitalization of community health work.
{"title":"Digitalizing Community Health Work: A Struggle over the Values of Global Health Policy","authors":"Tine Hanrieder, Eloisa Montt Maray","doi":"10.12759/HSR.46.2021.1.136-159","DOIUrl":"https://doi.org/10.12759/HSR.46.2021.1.136-159","url":null,"abstract":"The introduction of digital technology has sparked new debates about the value of community health workers in low-and-middle-income countries. This debate offers important insights into the conventions that are relevant in global public health. Community health workers, a workforce that was already celebrated during the 1970s Primary Health Care movement, are having a remarkable revival in recent years, and myriad actors seek to boost their impact through mobile devices. Our content analysis of the public health literature evaluating this impact reveals the centrality of attempts at reconciling equity and cost effectiveness concerns, and thus considerable normative tensions. Additionally, we find that discussions about “domestic” values such as privacy and gender roles come with a paternalistic undertone, calling for feminist and postcolonial engagement with the digitalization of community health work.","PeriodicalId":47073,"journal":{"name":"Historical Social Research-Historische Sozialforschung","volume":"46 1","pages":"136-159"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66514292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.12759/HSR.46.2021.1.261-284
Eryk Noji, Karolin Kappler, U. Vormbusch
{"title":"Situating Conventions of Health: Transformations, Inaccuracies, and the Limits of Measuring in the Field of Self-Tracking","authors":"Eryk Noji, Karolin Kappler, U. Vormbusch","doi":"10.12759/HSR.46.2021.1.261-284","DOIUrl":"https://doi.org/10.12759/HSR.46.2021.1.261-284","url":null,"abstract":"","PeriodicalId":47073,"journal":{"name":"Historical Social Research-Historische Sozialforschung","volume":"46 1","pages":"261-284"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66514489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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