无医生村危机的 "韩国式 "解决方法与 1950-70 年代南韩征兵制度的纠葛。

IF 0.1 4区 哲学 0 ASIAN STUDIES Korean Journal of Medical History Pub Date : 2023-12-01 DOI:10.13081/kjmh.2023.32.1043
Changhoon Shin
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引用次数: 0

摘要

本文回顾了 20 世纪 50-70 年代南韩无医村危机是如何与征兵制度紧密联系在一起的。20 世纪下半叶,韩国的公共卫生系统面临着双重挑战:殖民时期遗留下来的医疗短缺和城市集中问题,以及朝鲜战争后大规模征召军医的问题。无医村 "一词反映了这些历史背景,象征着农村地区长期存在的医疗危机。在危机的背后,一种扭转征兵制束缚、利用征兵制解决无医村问题的想法逐渐兴起。最初,卫生和社会事务部计划采取两种方案来填补公共卫生网络的空白。一种是向无医生村派驻军医,另一种是向无医生村派遣平民医生,并免除他们的兵役。自 5 月 16 日政变以来,经过一系列的医生动员,医疗界普遍同意并宣传了这一计划。他们提出了通过公共卫生工作提供替代服务的论点,并加强了其逻辑性。到 20 世纪 70 年代,该计划最终形成了目前的公共卫生医生制度。从条件和势头来看,其他部门引入替代服务以及政府和医疗界扩大共识加速了这一趋势。因此,韩国无医村危机这一持续了四分之一世纪的关键问题,通过利用征兵制度作为其制度基础,进入了解决阶段。它代表了 "韩国 "公共卫生体系的一个方面,即与征兵制度的纠葛。然而,另一个值得考虑的方面是,它通过将依靠动员和最低预算的公共卫生制度制度化,对农村地区的医疗保健施加了额外的限制。
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The 'Korean' Resolution of the Doctorless Village Crisis and the Entanglement with the Conscription System in South Korea in the 1950s-70s.

This article reviews how the crisis of doctorless villages in South Korea in the 1950s-70s was closely linked to the conscription system. In the second half of the twentieth century, South Korea's public health system faced a dual challenge: the colonial legacy of medical shortage and urban concentration, and the massive conscription of military doctors after the Korean War. The term 'doctorless village' was a signifier that reflected these historical contexts, symbolizing the chronic medical crisis in rural areas. Behind the crisis, there as a growing idea of reversing the constraints from conscription and using it as a solution for the doctorless village problem. Initially, the Ministry of Health and Social Affairs planned two alternatives to fill the gaps in the public health network. One was to station military doctors in doctorless villages, and the other was to dispatch civilian doctors in doctorless villages and exempt them from military service. After a series of doctor mobilizations since the May 16 coup, the medical community generally agreed with this plan and publicized it. They developed arguments for alternative services through public health work and strengthened its logic. By the 1970s, the plan culminated in the establishment of the current Public Health Doctor system. In terms of condition and momentum, the introduction of alternative service in other sectors, as well as the extension of the consensus among the government and medical community, accelerated this trend. As a result, the doctorless village crisis in South Korea, which had been a critical issue for a quarter of a century, entered a phase of resolution by utilizing the conscription system as its institutional foundation. It represented an aspect of the 'Korean' public health system characterized by the entanglement with conscription. However, another aspect to consider is that it has imposed additional limitation on medical care in rural areas by institutionalizing the public health system relying on mobilization and minimum budget.

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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
11
审稿时长
8 weeks
期刊最新文献
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