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[1919 - 1924年的牙科之争]

[The fight over dentistry 1919-1924].

作者信息

Lindblom C

出版信息

Sven Med Tidskr. 1997;1(1):169-90.

Abstract

In the history of many professions there are periods of more or less pronounced borderline fights against other professions and/or charlatans. This article is about such an example from the profession of dentistry in Sweden. From the middle of the second decade of this century, there was an increasing discrepancy between the need for dental care and the too low number of dentists. Furthermore: the majority of the Swedish people could not afford dental care at all. In the public debate the concept "dental misery" was created. In 1919 a famous Swedish paediatric professor, Isak Jundell, presented a debate article in "Allmänna Svenska Läkartidningen" (Journal of the Swedish Medical Association), with a proposal for building up a corps of dental assistants with shorter training than dentists, but still with competence for tooth cleaning, extraction and some operative dentistry. The aim of the proposal was to give people easier available and cheaper dental care. The dental profession had been questioned and threatened and the reaction from the advocates of the dentists was immediate and intense. Now followed an almost five year long struggle, with the Swedish Dental Association on one side and parts of the medical profession, dental technicians, even some dentists and a number of politicians on the other. The controversy ended up in the Swedish Parliament in 1924 where many members in both the chambers had signed motions concerning authorisation of dental technicians. The dentists won the fight thanks to the resolution in the Parliament not to authorise the technicians. But still more important, from a social political point of view, was a statement from the Parliament with a commission to the Government to analyse the prerequisites for building up a Public Dental Health Service organisation in Sweden. After a series of committees this was finally a reality fourteen years later, in 1938, when the Parliament in a resolution initiated "folktandvården".

摘要

在许多职业的历史中,都或多或少存在着与其他职业和/或江湖郎中进行激烈边缘斗争的时期。本文讲述的是瑞典牙科行业的一个这样的例子。从本世纪第二个十年中期开始,牙科护理需求与牙医数量过少之间的差距越来越大。此外:大多数瑞典人根本负担不起牙科护理费用。在公众辩论中,创造了“牙科困境”这一概念。1919年,瑞典著名儿科教授伊萨克·容德尔在《瑞典医学协会杂志》上发表了一篇辩论文章,提议建立一支牙科助理队伍,其培训时间比牙医短,但仍具备牙齿清洁、拔牙和一些口腔手术的能力。该提议的目的是让人们更容易获得且更便宜地获得牙科护理。牙科行业受到了质疑和威胁,牙医倡导者的反应迅速而激烈。随后是一场持续了近五年的斗争,一方是瑞典牙科协会,另一方是部分医学专业人士、牙科技师,甚至一些牙医和一些政治家。这场争议在1924年的瑞典议会中达到高潮,两院的许多议员都签署了关于授权牙科技师的议案。由于议会决定不授权牙科技师,牙医们赢得了这场斗争。但从社会政治角度来看,更重要的是议会发表的一份声明,委托政府分析在瑞典建立公共牙科保健服务组织的先决条件。经过一系列委员会的努力,这最终在十四年后的1938年成为现实,当时议会通过一项决议启动了“公共牙科保健服务”。

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