{"title":"应急管理中的“稀缺社会化”:对人道主义危机中资源稀缺假设的再思考。","authors":"Zoe Fanning","doi":"10.5334/aogh.3960","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Physician-anthropologist Paul Farmer theorizes a process of \"socialization for scarcity\" (SfS), which assumes permanent and unchangeable resource scarcity for the world's poor. International health and poverty decisions that are based off of this premise are therefore used to justify inadequate care for vulnerable populations.</p><p><strong>Objectives: </strong>The theory of SfS has predominantly been applied to the context of global health and development. This paper aims to apply SfS to the field of emergency management, asking, \"How does SfS function in the context of humanitarian crises, and what implications does this have for emergency management?\"</p><p><strong>Methods: </strong>This paper reviewed Farmer's own descriptions of SfS as well as articles by colleagues and other scholars who elaborated on his theory, analyzing their contributions to issues relevant in emergency management.</p><p><strong>Findings: </strong>This review finds that SfS is both applicable to and amplified within emergency management because of the uncertain, competitive, and urgent nature of humanitarian crises. The paper then describes potential approaches to combating SfS in emergency contexts.</p><p><strong>Conclusions: </strong>SfS is the result of deficient effort toward discovering approaches to managing emergencies that do not presume scarcity. The assumption of permanent resource scarcity, especially in low- and middle-income countries (LMICs), is a matter of inequity and injustice and stands opposed to imperative systemic change. Emergency managers must work to eradicate dangerous presumptions that leave already suffering individuals even further from the dignified, appropriate and adequate care they require and deserve.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038112/pdf/","citationCount":"0","resultStr":"{\"title\":\"\\\"Socialization for Scarcity\\\" in Emergency Management: Rethinking Assumptions of Resource Scarcity in Humanitarian Crises.\",\"authors\":\"Zoe Fanning\",\"doi\":\"10.5334/aogh.3960\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Physician-anthropologist Paul Farmer theorizes a process of \\\"socialization for scarcity\\\" (SfS), which assumes permanent and unchangeable resource scarcity for the world's poor. International health and poverty decisions that are based off of this premise are therefore used to justify inadequate care for vulnerable populations.</p><p><strong>Objectives: </strong>The theory of SfS has predominantly been applied to the context of global health and development. This paper aims to apply SfS to the field of emergency management, asking, \\\"How does SfS function in the context of humanitarian crises, and what implications does this have for emergency management?\\\"</p><p><strong>Methods: </strong>This paper reviewed Farmer's own descriptions of SfS as well as articles by colleagues and other scholars who elaborated on his theory, analyzing their contributions to issues relevant in emergency management.</p><p><strong>Findings: </strong>This review finds that SfS is both applicable to and amplified within emergency management because of the uncertain, competitive, and urgent nature of humanitarian crises. 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Emergency managers must work to eradicate dangerous presumptions that leave already suffering individuals even further from the dignified, appropriate and adequate care they require and deserve.</p>\",\"PeriodicalId\":48857,\"journal\":{\"name\":\"Annals of Global Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2023-03-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038112/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Global Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5334/aogh.3960\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Global Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5334/aogh.3960","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
背景:内科人类学家保罗·法默(Paul Farmer)提出了一种“稀缺社会化”(social for scarcity, sf)的理论,该理论假设世界穷人的资源稀缺是永久的、不可改变的。因此,基于这一前提的国际卫生和贫困决定被用来证明对弱势群体照顾不足的理由。目标:可持续发展理论主要应用于全球健康与发展。本文旨在将安全系统应用于应急管理领域,并提出“安全系统在人道主义危机背景下如何发挥作用,这对应急管理有什么影响?”方法:本文回顾了Farmer本人对SfS的描述以及同事和其他学者阐述其理论的文章,分析了他们对应急管理相关问题的贡献。研究结果:本综述发现,由于人道主义危机的不确定性、竞争性和紧迫性,可持续发展既适用于应急管理,也在应急管理中得到了扩大。然后,该文件描述了在紧急情况下打击SfS的潜在方法。结论:SfS是在发现不假定稀缺性的紧急情况管理方法方面努力不足的结果。假定资源永久短缺,特别是在低收入和中等收入国家,是一个不公平和不公正的问题,反对必要的系统变革。应急管理人员必须努力消除危险的假设,这些假设使已经受苦的人进一步得不到他们需要和应得的有尊严、适当和充分的护理。
"Socialization for Scarcity" in Emergency Management: Rethinking Assumptions of Resource Scarcity in Humanitarian Crises.
Background: Physician-anthropologist Paul Farmer theorizes a process of "socialization for scarcity" (SfS), which assumes permanent and unchangeable resource scarcity for the world's poor. International health and poverty decisions that are based off of this premise are therefore used to justify inadequate care for vulnerable populations.
Objectives: The theory of SfS has predominantly been applied to the context of global health and development. This paper aims to apply SfS to the field of emergency management, asking, "How does SfS function in the context of humanitarian crises, and what implications does this have for emergency management?"
Methods: This paper reviewed Farmer's own descriptions of SfS as well as articles by colleagues and other scholars who elaborated on his theory, analyzing their contributions to issues relevant in emergency management.
Findings: This review finds that SfS is both applicable to and amplified within emergency management because of the uncertain, competitive, and urgent nature of humanitarian crises. The paper then describes potential approaches to combating SfS in emergency contexts.
Conclusions: SfS is the result of deficient effort toward discovering approaches to managing emergencies that do not presume scarcity. The assumption of permanent resource scarcity, especially in low- and middle-income countries (LMICs), is a matter of inequity and injustice and stands opposed to imperative systemic change. Emergency managers must work to eradicate dangerous presumptions that leave already suffering individuals even further from the dignified, appropriate and adequate care they require and deserve.
期刊介绍:
ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment.
The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.