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SUMMARY:Navigating Contradictory Mandates in Primary Healthcare. What Can 
 We Learn from Diabetes Prevention in a Rural Mexican Hospital? (Susana Kol
 b Cadwell) - Susana Kolb Cadwell (University of Oxford)\, Professor Mark H
 arrison (Professor of the History of Medicine and Director of the Wellcome
  Unit for the History of Medicine)
DTSTART;VALUE=DATE-TIME:20250617T171500
DTEND;VALUE=DATE-TIME:20250617T183000
UID:https://talks.ox.ac.uk/talks/id/40623f4a-4f75-41db-9e97-b531f3200768/
DESCRIPTION:Social studies of medicine have highlighted differences betwee
 n clinical medicine and public health. Less attention has been paid to how
  these fields intersect within primary healthcare institutions—particula
 rly in rural settings where providers are expected to deliver prevention\,
  treatment\, and culturally respectful\, community-engaged care simultaneo
 usly. This talk examines how\, in practice\, their overlapping mandates ge
 nerate contradictions that shape how care is delivered\, and how it falls 
 to healthcare professionals to make sense of them through conceptual refra
 ming\, practical decisions\, and everyday moral reasoning. \n \nDrawing on
  long-term ethnographic research on diabetes prevention and management pra
 ctices in a rural hospital in Mexico\, I map out a series of tensions that
  emerge as preventative public health practices—shaped by longer histori
 es of rural health intervention—collide with clinical and ethical commit
 ments under the hospital’s intercultural\, human rights framework. These
  include tensions between transforming and respecting cultural practices\;
  between coercion\, consent\, and confidentiality\; and between hospital c
 ontrol and patient self-management. I follow healthcare professionals as t
 hey navigate these layered tensions practically\, conceptually\, and moral
 ly\, while also grappling with contradictory enactments of the disease its
 elf. Finally\, I reflect on how patients engage with these interventions b
 ased on local understandings of diabetes\, responsibility\, and self-care.
 \n \nCommentator: Prof. Mark Harrison (History\,University of Oxford)\nSpe
 akers:\nSusana Kolb Cadwell (University of Oxford)\, Professor Mark Harris
 on (Professor of the History of Medicine and Director of the Wellcome Unit
  for the History of Medicine)
LOCATION:St Cross College (Seminar Room)\, St Giles OX1 3LZ
TZID:Europe/London
URL:https://talks.ox.ac.uk/talks/id/40623f4a-4f75-41db-9e97-b531f3200768/
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DESCRIPTION:Talk:Navigating Contradictory Mandates in Primary Healthcare. 
 What Can We Learn from Diabetes Prevention in a Rural Mexican Hospital? (S
 usana Kolb Cadwell) - Susana Kolb Cadwell (University of Oxford)\, Profess
 or Mark Harrison (Professor of the History of Medicine and Director of the
  Wellcome Unit for the History of Medicine)
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