Schepers R M, Hermans H E
Department of Health Policy and Management, Rotterdam, The Netherlands.
Soc Sci Med. 1999 Feb;48(3):343-51. doi: 10.1016/s0277-9536(98)00349-9.
At the end of 1993, the Dutch parliament passed the Individual Health Care Professions Bill which replaced existing legislation. The new Act brings to an end the monopoly of the Dutch medical profession. The former prohibition on alternative practitioners to practice medicine was abolished. This article addresses the question of whether the Act affects the position of medical dominance in Dutch health care. It will be argued that the new Act preserves the present position of medical dominance to a large extent. Although alternative therapies have gained greater social recognition, there is little indication that the cultural and social authority of medicine is yet being challenged in the Netherlands. However, it could be argued that the Dutch health care system is moving in a more pluralistic direction.
1993年底，荷兰议会通过了《个体医疗职业法案》，该法案取代了现行立法。新法案终结了荷兰医疗行业的垄断局面。以往对替代疗法从业者行医的禁令被废除。本文探讨了该法案是否会影响荷兰医疗保健领域中医护主导地位的问题。可以认为，新法案在很大程度上保留了目前医护主导的地位。尽管替代疗法已获得了更大的社会认可，但几乎没有迹象表明医学在荷兰的文化和社会权威受到了挑战。然而，可以说荷兰的医疗保健系统正朝着更加多元化的方向发展。
