医生萨哈布印度医学界 "黄金时代 "的医生与公众。

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2023-03-10 DOI:10.1111/1467-9566.13630
Kiran Kumbhar
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引用次数: 0

摘要

独立后初期(20 世纪 40 年代至 70 年代),公众对生物医学行业充满信任和信心,病人与医生的关系经历了一个 "黄金时代"。通过探究这几十年间人们与医生相处的经历和对医生的看法,我发现与当代人的理解相反,即使在独立后的早期,公众对医生的不满情绪也很严重。我认为,拥有特权种姓和阶级的印度人在医疗行业中的主导地位在主流行业及其领导层中滋生了一种基于种姓特权的精英观,并在医生和大多数公众之间造成了难以逾越的社会经济距离。医生认为人们对他们及其职业的 "信任",往往只是人们对社会精英普遍敬畏的一种表现。在独立后的印度,这种对过去医患关系的不正确解释一直是围绕医生与社会关系的主流叙事的一个特点,而且在医学、学术和公共论述中基本上没有得到充分的探讨和历史化。
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Doctor sahab: Doctors and the public in the 'golden era' of the Indian medical profession.

This essay analyses and historicises a contemporary dominant narrative among India's biomedical doctors, that the early post-independence period (1940s-1970s) was characterised by immense public trust and confidence in the biomedical profession, with the patient-doctor relationship experiencing a 'golden era'. By exploring people's experiences with and perceptions of doctors during these decades, I show that contrary to contemporary understanding, public dissatisfaction with doctors was substantial even in the early post-independence period. I argue that the dominance of privileged-caste and -class Indians in the medical profession nurtured a caste privilege-based elitist outlook within the mainstream profession and its leadership and created an insurmountable socioeconomic distance between doctors and the large majority of the public. What doctors deemed as people's 'trust' in them and their profession was often simply a manifestation of people's general deference towards the elites of the society. This incorrect interpretation of patient-doctor dynamics in the past has been a constant feature of mainstream narratives around the doctor-society relationship in post-independence India and has remained largely under-explored and under-historicised in the medical, scholarly and public discourses.

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来源期刊
CiteScore
6.10
自引率
6.90%
发文量
156
期刊介绍: Sociology of Health & Illness is an international journal which publishes sociological articles on all aspects of health, illness, medicine and health care. We welcome empirical and theoretical contributions in this field.
期刊最新文献
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