医学上的红星:重新定义中共早期医患关系(20世纪30 - 60年代)

Shao Dan
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引用次数: 0

摘要

中国共产党在从一个不合法的或少数党发展到执政政权的过程中,如何重新定义医学和医生的社会和政治角色?从20世纪30年代到60年代,这几十年充满了意识形态的转变、政治动荡和战争,中国共产党为其反帝运动和国家建设事业制定的公式不仅改变了中国国家的政治和经济基础,也改变了人们对医患关系的看法。本文将从一场医疗纠纷开始,这场纠纷标志着对21世纪医生社会角色的怀旧理想化。在概述了定义医生在早期中华民国和中共政权中的角色的医疗法规的重大转变之后,讨论然后强调了中共战时医疗经验中的三个相互关联的因素:医疗从业者的极高道德标准;医疗服务非商品化;动员医务人员支持中国共产党的政治议程。中国共产党在战时的医疗经验在监管、规范和文化认知层面对我们理解中华人民共和国早期的医学制度化和当代中国不断变化的医患关系至关重要。
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Red Star over Medicine: Redefining Doctor-Patient Relationship in Early CPC History (1930s–1960s)
Abstract How did the Communist Party of China (CPC) redefine the social and political roles of medicine and doctors as it developed from an illegitimate or minority party to the ruling political power? From the 1930s to the 1960s, decades replete with ideological shifts, political upheavals and wars, the formula CPC developed for its anti-imperial movements and state-building enterprise changed not only the political and economic fundaments of China’s statehood, but also people’s perception of physician-state-patient relationship. The article will start with a medical dispute that signifies a nostalgic idealization of doctors’ social roles in the 21st century. Following an overview of the major shifts in medical regulations that define doctors’ roles in the early ROC and the CPC regimes, the discussion then highlights three interrelated elements in CPC’s wartime medical experiences: an extremely high standard of morality for medical practitioners; de-commodification of medical services; and mobilization of medical practitioners to support the CPC’s political agenda. The CPC’s wartime medical experiences at the regulative, normative and cultural-cognitive levels are essential to our understanding of the institutionalization of medicine in the early PRC and the changing physician-state-patient relationship in contemporary China.
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CiteScore
1.60
自引率
12.50%
发文量
44
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