Stevens R A
Department of History and Sociology of Science, University of Pennsylvania, 249 South 36th Street, Logan 303, Philadelphia, PA 19104-6304, USA.
Milbank Q. 2001;79(3):327-53, III. doi: 10.1111/1468-0009.00211.
The future role of national medical organizations as a moral voice in health policymaking in the United States deserves attention from both scholarly and strategic perspectives. Arguments for strengthening the public roles of organized professionalism include its long (if neglected) history of public service. Scholarship of the past 40 years has emphasized the decline of a profession imbued with self-interest, together with associated theories of organizational conflict. Through new concepts and language, a different version of organized medicine from that of the past might be invented for the future--one that draws on multiple medical organizations, encourages more effective cooperation with other health care groups, and builds on traditional professional agendas through adaptation and extension.
在美国，国家医学组织在卫生政策制定中作为一种道德声音的未来作用，值得从学术和战略角度予以关注。支持强化有组织的专业主义的公共角色的理由包括其悠久（尽管被忽视）的公共服务历史。过去40年的学术研究强调了一个充满私利的职业的衰落，以及相关的组织冲突理论。通过新的概念和语言，未来可能会创造出一种与过去不同的有组织的医学版本——一种借鉴多个医学组织、鼓励与其他医疗保健团体更有效合作，并通过适应和扩展建立在传统专业议程基础上的版本。
