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[19世纪德国社会医学的发展]

[The development of German social medicine in the nineteenth century].

作者信息

Lee J C

机构信息

Department of the History of Medicine, Ajou University School of Medicine.

出版信息

Uisahak. 1994;3(1):20-9.

Abstract

In his influential treatise System einer vollständigen medizinischen Polizey, Johann Peter Frank (1745-1821) made significant contributions to the establishment of the concept of medical police, which has been understood as the forerunner of social medicine. Cameralism, the German version of mercantilism, became the very basis on which Frank and other German writers developed the framework of medical police. 'Medical reform' was the catchword of German medical men in the 1840s. The medical reform movement of 1848 was partially caused by a deep political, economic, and social crisis. Although Industrial Revolution began in Germany later than in England and France during the first half of the nineteenth century, by 1848 the formation of German industrial working-class made medical reformers recognize the causal relationships between social and health problems. The outstanding figures in the German medical reform movement of this period were Rudolf Virchow (1821-1902), Solomon Neumann and Rudolf Leubuscher. In his famous Report on the Typhus Epidemic in Upper Silesia, Virchow proposed several radical measures that could be used against the epidemic: the absolute separation of the schools from the church, the establishment of self-government in the state and community, unlimited democracy, road building, and the improvement of agriculture and horticulture. ...

摘要

约翰·彼得·弗兰克(1745 - 1821)在其具有影响力的论文《完整医学政策体系》中,为医学警察概念的建立做出了重大贡献,该概念被视为社会医学的先驱。重商主义的德国版本——官房学,成为弗兰克和其他德国作家发展医学警察框架的基础。“医学改革”是19世纪40年代德国医学人士的口号。1848年的医学改革运动部分是由深刻的政治、经济和社会危机引发的。尽管德国的工业革命在19世纪上半叶比英国和法国开始得晚,但到1848年,德国工业工人阶级的形成使医学改革者认识到社会问题与健康问题之间的因果关系。这一时期德国医学改革运动的杰出人物有鲁道夫·菲尔绍(1821 - 1902)、所罗门·诺伊曼和鲁道夫·洛伊布施克尔。在其著名的《上西里西亚斑疹伤寒疫情报告》中,菲尔绍提出了几项可用于对抗疫情的激进措施:学校与教会绝对分离、在国家和社区建立自治、无限民主、修路以及改善农业和园艺。……

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