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[根据土耳其议会会议记录的土耳其共和国卫生政策(第二部分)]

[Health policy of the Republic of Turkey in accordance with the minutes of the Turkish Parliament (Part II)].

作者信息

Ozpekcan Meliha

机构信息

T.C. Istanbul Universitesi Atatürk ilkeleri ve Inkilap Tarihi Enstitüstü Atatürk ilkeleri ve Inkilap Tarihi Anabilim Dali.

出版信息

Yeni Tip Tarihi Arastirmalari. 2002;8:163-274.

PMID:17152155
Abstract

Because of the invasion of the Ottoman territory after the World War I, the Turkish War of Liberty was initiated by Mustafa Kemal Pasha and his friends. While they aimed at a successful outcome of the battle, they at the same time tried to achieve a nation-wide organization. In order to look after the nation's medical and social service, on May 2nd 1920, a new ministry called the Ministry for Medical and Social Service was founded. The new ministry's task was not only to concern itself with the medical and social service, but also with immigration and of the immigrants. At the beginning the hitherto existing social system and certain laws were not abolished until they were replaced by new ones in order to prevent an interruption in the social service. In these years the aim of the social system was to struggle against infectious diseases, to prevent infections, to decrease infant mortality and to increase the population, to take measures against diseases from abroad, to pass the laws needed and to form a central authority. Besides these laws which were directly related with the medical and social service during the War of Liberty, the governing of the districts and the regulations concerning the miners in Zonguldak were passed in order to protect peoples' health. Our political existence was confirmed through the signing of the agreement reached by the Lausanne Conference after the War of Liberty and consequently the Medical Care Supreme Council of Istanbul, which had continued its validity as a capitulation, was abolished. The social state policy of the period which had started with the foundation of the Turkish Republic aimed to extend the state's medical organization, increase the number of the medical staff, continue the employment of the health personnel specialized in medicine, struggle against infectious diseases in an organized way, provide a wide-spread medical service, give priority to preventive health care and establish medical institutions, effect a cooperation of these institutes, pass the necessary laws and establish state supervision in all fields. In the first ten years of the Republic, new schools and courses were started in order to increase the number of the medical staff to be sent to areas deprived of social service. In accordance with the Obligatory Service Law of 1923, doctors who were sent to eastern Turkey were provided with encouraging advantages. The organizational work and the laws concerning infectious diseases like malaria, syphilis and trachoma, which were wide-spread, was effective and successful from the year 1925 onwards when Dr. Refik Saydam was the Minister for Health. The meetings of the Turkish National Congresses on Medicine helped solve the nation's health problems and influenced the state's policy and the Health Ministry's activities. The aim was not merely the protection of peoples' health through education. In this period, many laws were passed with the aim to protect the nation's health and to ensure state control in every field. Some of these are still in force today. Besides free medical treatment of the poor and the old, laws of validity for a long period, which were effective in the protection of the health of children, the adolescent and the pregnant women in the social life and employment, were passed. In the first ten years of the Republic a protective, comprehensive and human health policy was observed in accordance with the policy of the state. The second part of the study deals with the Turkish Parliament's minutes on the health organizations; the health budgets; the laws passed on about the health practitioners; the struggle against infectious diseases; the Turkish codex, pharmacists and laboratories; the education of physicians and other health personnel etc.

摘要

由于第一次世界大战后奥斯曼领土遭到入侵,穆斯塔法·凯末尔·帕夏及其友人发起了土耳其独立战争。他们在力求战役取得成功的同时,还试图实现全国范围的组织建设。为了负责国家的医疗和社会服务,1920年5月2日,一个名为医疗和社会服务部的新部门成立了。新部门的任务不仅是关注医疗和社会服务,还包括移民及移民事务。起初,原有的社会制度和某些法律在被新制度取代之前并未废除,以防社会服务中断。这些年里,社会制度的目标是抗击传染病、预防感染、降低婴儿死亡率并增加人口、采取措施应对来自国外的疾病、通过所需法律并建立中央权威机构。除了这些在独立战争期间与医疗和社会服务直接相关的法律外,还通过了关于宗古尔达克地区行政管理及矿工管理的规定,以保护民众健康。独立战争后,通过签署洛桑会议达成的协议,我们的政治存在得到了确认,因此,作为一项治外法权继续有效的伊斯坦布尔医疗保健最高委员会被废除。从土耳其共和国成立开始的这一时期的社会国家政策旨在扩大国家医疗组织、增加医务人员数量、继续聘用医学专业的卫生人员、有组织地抗击传染病、提供广泛的医疗服务、优先重视预防性医疗保健并建立医疗机构、促进这些机构的合作、通过必要法律并在所有领域建立国家监管。在共和国的头十年里,开办了新的学校和课程,以增加派往缺乏社会服务地区的医务人员数量。根据1923年的义务兵役法,被派往土耳其东部的医生享有优惠待遇。自1925年雷菲克·赛伊丹博士担任卫生部长起,针对疟疾、梅毒和沙眼等广泛传播的传染病的组织工作及相关法律开始生效并取得成功。土耳其医学全国代表大会的会议有助于解决国家的健康问题,并影响国家政策和卫生部的活动。其目标不仅是通过教育保护民众健康。在这一时期,通过了许多旨在保护国民健康并确保国家在各个领域进行管控的法律。其中一些法律至今仍然有效。除了为穷人和老年人提供免费医疗外,还通过了长期有效的法律,这些法律在社会生活和就业中对保护儿童、青少年和孕妇的健康起到了有效作用。在共和国的头十年里,根据国家政策,实施了一项保护性、全面性和人性化的健康政策。研究的第二部分涉及土耳其议会关于卫生组织、卫生预算、针对卫生从业人员通过的法律、抗击传染病、土耳其法典、药剂师和实验室、医生及其他卫生人员的教育等方面的会议记录。

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