American Sociological Association

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  1. Organizational Construction and Interdisciplinary Identity in a New Health Care Organization

    The authors examine the organizational construction of an interdisciplinary brain care center via ethnographic observation of vision and mission-building meetings and semistructured interviews with organizational leaders.

  2. Abandoning Medical Authority: When Medical Professionals Confront Stigmatized Adolescent Sex and the Human Papillomavirus (HPV) Vaccine

    Despite authority’s centrality to the medical profession, providers routinely forgo their medical authority during clinical encounters. Research focuses on patients challenging medical authority but indicates these confrontations are uncommon and providers seldom relinquish their authority in response. Using rare data of 75 audio recordings of adolescent vaccine discussions during clinical encounters and interviews with and observations of medical staff, I examine how staff leverage or abandon their medical authority to convince parents to vaccinate.

  3. Patients’ Conceptualizations of Responsibility for Healthcare: A Typology for Understanding Differing Attributions in the Context of Patient Safety

    This study examines how patients conceptualize “responsibility” for their healthcare and make sense of the complex boundaries between patient and professional roles. Focusing on the specific case of patient safety, narrative methods were used to analyze semistructured interviews with 28 people recently discharged from hospital in England. We present a typology of attribution, which demonstrates that patients’ attributions of responsibility to staff and/or to patients are informed by two dimensions of responsibility: basis and contingency.

  4. The Effect of Segregated Cities on Ethnoracial Minority Healthcare System Distrust

    Distrust of the health system is a longstanding issue for ethnoracial minorities, especially for Blacks. Not well understood, however, is the role that ethnoracial segregation within a city plays in this distrust. While segregation is typically associated with neighborhood ills, there is evidence that it can also moderate distrust. This study draws on the 2008 wave of the Public Health Management Corporation's Southeastern Pennsylvania Household Health Survey and the 2005–2009 American Community Survey to explore the possibility that segregation affects healthcare system distrust.

  5. Agency and Change in Healthcare Organizations: Workers’ Attempts to Navigate Multiple Logics in Hospice Care

    There is no doubt that the organization of healthcare is currently shifting, partly in response to changing macrolevel policies. Studies of healthcare policies often do not consider healthcare workers’ experiences of policy change, thus limiting our understanding of when and how policies work. This article uses longitudinal qualitative data, including participant observation and semistructured interviews with workers within hospice care as their organizations shifted in response to a Medicare policy change.
  6. Who Counts as a Notable Sociologist on Wikipedia? Gender, Race, and the “Professor Test”

    This paper documents and estimates the extent of underrepresentation of women and people of color on the pages of Wikipedia devoted to contemporary American sociologists. In contrast to the demographic diversity of the discipline, sociologists represented on Wikipedia are largely white men. The gender and racial/ethnic gaps in likelihood of representation have exhibited little change over time. Using novel data, we estimate the “risk” of having a Wikipedia page for a sample of contemporary sociologists.
  7. Agency and Change in Healthcare Organizations: Workers’ Attempts to Navigate Multiple Logics in Hospice Care

    How do major healthcare policy changes affect the delivery of care? Healthcare policy changes often have unintended consequences that affect workers’ practices and patient experiences. Medicare, which pays for the vast majority of hospice end-of-life care, recently changed a policy to curb long hospice stays. Starting in 2011, all patients who were enrolled in hospice for 180 days or more were required to have a face-to-face visit with a physician or qualified nurse practitioner.
  8. Asian Americans in Small-Town America

    Capturing belonging as a dynamic social process for Asian Americans in the historically White rural United States.
  9. Like a Fish out of Water: Managing Chronic Pain in the Urban Safety Net

    The subjective nature of pain has always rendered it a point of entry for power and corresponding stratifying processes within biomedicine. The opioid crisis has further exacerbated these challenges by increasing the stakes of prescribing decisions for providers, which in turn has resulted in greater treatment disparities.
  10. Text Analysis with JSTOR Archives

    I provide a visual representation of keyword trends and authorship for two flagship sociology journals using data from JSTOR’s Data for Research repository. While text data have accompanied the digital spread of information, it remains inaccessible to researchers unfamiliar with the required preprocessing. The visualization and accompanying code encourage widespread use of this source of data in the social sciences.