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["无产阶级化”的国家健康计划医生。魏玛共和国时期医生的社会自我形象面面观]

[The "Proletarized" national health-scheme doctor. Aspects of the social self-image of physicians in the Weimar Republic].

作者信息

Seidel H C

出版信息

Med Ges Gesch. 1997;16:33-62.

Abstract

The expansion of the health insurance system during the Weimar Republic changed the professional practice of the physicians considerably, The article discusses the coherence between physicians' perception of this change and their concept of their own social role and position in the German society of the Weimar Republic. Many physicians felt "proletarized" not only because of their difficult economic situation or their problematic relations with the sick-funds. The feeling of "proletarization" was based also on their experiences in their daily occupational practice in the health insurance system. Their changed relations with patients from lower strata or the "mass practice" didn't correspond to the ideal conception of the socially well-respected "burgerlicher Hausarzt" and this charge was interpreted as a sign of the social decline (so it was claimed) of the physician.

摘要

魏玛共和国时期医疗保险体系的扩张极大地改变了医生的职业实践。本文探讨了医生对这一变化的认知与他们在魏玛共和国德国社会中自身社会角色和地位观念之间的一致性。许多医生感到“无产阶级化”,不仅是因为他们艰难的经济状况或与疾病基金的问题关系。“无产阶级化”的感觉还基于他们在医疗保险体系日常职业实践中的经历。他们与下层患者或“大规模诊疗”中改变的关系,与社会上备受尊敬的“市民家庭医生”的理想概念不符,而这种指责被解释为医生社会地位下降(有人这样声称)的标志。

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