Huertas R, Maestro A
Departamento de Historia de la Ciencia, Centro de Estudios Históricos, CSIC.
Cuad Complut Hist Med Cienc. 1993;2:199-221.
After a brief analysis of the principal contradictions in the model of the National Health Service in the industrialised, capitalist countries which, after the second world war, acceded to the Welfare State, we shall study, within the framework of the so-called "epidemiological revolution", the way in which a degradation of the medical model of Social Security and the configuration of an ideological view directed at the individualisation of health problems, is recorded following a crisis in the Welfare State. Finally the concept of Social Health shall be expounded as a category of analysis which may permit the understanding of the methodological inexactitude which involves creating the characteristics and possibilities of a health service outside the socio-economic model.
在简要分析工业化资本主义国家在第二次世界大战后加入福利国家行列的国民医疗服务体系模式中的主要矛盾之后,我们将在所谓“流行病学革命”的框架内,研究福利国家危机后社会保障医疗模式的退化以及针对健康问题个体化的意识形态观念的形成方式。最后,将阐述社会健康的概念,作为一种分析范畴,它可能有助于理解在社会经济模式之外构建医疗服务的特征和可能性时所涉及的方法论上的不精确性。