建国后的医疗保健制度之争与统一后的医疗保健政策。

IF 0.1 4区 哲学 0 ASIAN STUDIES Korean Journal of Medical History Pub Date : 2021-12-01 DOI:10.13081/kjmh.2021.30.499
Jinhyouk Kim
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引用次数: 1

摘要

解放后,人们立即对医疗保健制度的争论进行了研究,重点是美国和苏联医疗制度的方向,大致分为李勇石和崔恩石。然而,美国和苏联医疗保健系统的定位中没有解释的人的存在导致了重新考虑现有前提的必要性。因此,本研究从现有研究的角度来识别未被解释的特征,并重新评估李和崔的论点。本文提出以下问题:首先,李和崔的政策取向背景是什么?第二,如果有人提出了与李勇石和崔不同的论点,他们设定了什么方向并进行了争论?第三,李勇石、崔恩石等人的取向是如何汇合成苏美联合委员会的答案的?针对这些问题,本研究证实了以下几点:第一,李和崔的医疗保健政策是建立在现实主义和经验主义的基础上的。作为投保人,李勇石强调要根据当时的情况取消医疗国家管理,提高医学教育和医疗系统的水平,尽管美国的系统是李动员起来作为他判断和管理资产的基础。另一方面,崔的目标是建立苏联式的医疗保健系统,但这一目标实际上被搁置了。崔坚持成立日本医疗社会化运动中出现的医疗服务协会和农村合作医院。总之,解放后不久,李勇石和崔的政策主张都是基于可以在朝鲜实施的政策,美国制度和苏联制度是政策资源的标准。第二,郑谷重和金永柱表明,解放后医疗保健辩论的格局并不仅仅由李勇石和崔代表。因此,郑和金都被引导到了医疗社会化,这是一个包含社会改革的医疗保健系统的实施,但背景不同。郑以优生学为基础,从社会进化的角度绘制了在美国达到顶峰的医疗保健系统的等级制度,但适合韩国的代表是他所理解的苏联模式。相反,金认为应该在韩国找到适合韩国的代表。作为国家医疗机构,金的想法旨在建立一个为所有韩国人提供平等机会的医疗国家管理机构。第三,与苏美联合委员会的答复提案相一致的方面很复杂。在李勇石的政策中,推动传教医疗机构和逐步规划医疗机构融合为三个组织的建议,而崔的政策几乎与民主国民阵线和韩国劳动党的政策相同。然而,殖民地母国日本的医疗制度似乎是以殖民时期韩国医学会主席李盖洙为基础的,该计划符合南方左翼组织提议的联盟制度。根据一项共同任务,将医疗保健从殖民地条件扩大到不同的地位。
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The Health Care System Debate and the Health Care Policy of a Unified Nation Immediately after the Liberation.

Immediately after the liberation, the health care system debate was studied focusing on the orientation of the American and Soviet medical systems, roughly divided into Lee Yong-seol and Choi Eung-seok. However, the existence of people who are not explained in the American and Soviet health care systems' orientation led to the need to reconsider the existing premise. Therefore, this study identifies the characters that were not explained in the perspective of existing studies, and reevaluates the arguments of Lee Yong-seol and Choi Eung-seok. This paper raises the following questions: First, what is the background of the policy orientation that Lee Yong-seol and Choi Eung-seok had? Second, if there are people who made different arguments from Lee Yong-seol and Choi Eung-seok, what direction did they set and argue? third, how the orientations of Lee Yong-seol and Choi Eung-seok and etc. converge into the answer to the Joint Soviet-American Commission? In response to theses questions, this study confirms the following: first, Lee Yong-seol's and Choi Eung-seok's health care policies were established based on realism and empiricism. As a policyholder, Lee Yong-seol emphasized withholding medical state administration and raising the level of medical education and medical systems according to the condition at that time, although the American system was mobilized by Lee as the basis for his judgment and administrative assets. On the other hand, Choi Eung-seok aimed for a Soviet-style systems in health care but this was realistically put on hold. Choi insisted on the establishment of the Medical Service Associations and rural cooperative hospitals that appeared in Japan's medical socialization movement. In summary, immediately after the liberation, Lee Yong-seol's and Choi Eung-seok's policy arguments were based on policies that could be implemented in Korea, and the American system and Soviet system served as criteria for the policy resources. Second, Jeong Gu-chung and Kim Yeon-ju show that the topography of the health care debate immediately after the liberation was not represented only by Lee Yong-seol and Choi Eung-seok. Both Jeong and Kim were consequently led to medical socialization, which was the implementation of a health care system that encompasses social reform, but the context was different. Jeong drew the hierarchy of the health care system, which peaked in the United States, from the perspective of social evolution based on his eugenics, but the representation suitable for Korea was the Soviet model absorbed into his understanding. On the contrary, Kim argued that representations suitable for Korea should be found in Korea. As national medical care, Kim's idea aimed at a medical state administration that provides equal opportunities for all Koreans. Third, the aspect of convergence to the Joint Soviet-American Commission reply proposal was complicated. Among the policies of Lee Yong-seol, the promotion of missionary medical institutions and the gradual planning of medical institutions converged into the three organizations' proposal, and Choi Eung-seok's policy was almost the same as that of the Democracy National Front and the South Korean Labor Party. However, the medical system of Japan, the colonial home country, appears to have been based on Lee Gap-soo, chairman of the Korean Medical Association in the colonial period, and the plan was in line with the use of the union system of the left-wing organizations' proposal in the south. It was in accordance with a common task to expand health care from colonial conditions to different status.

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