Rodríguez J A
Departamento de Sociología, Universidad de Barcelona, Facultad de Ciencias Económicas, Spain.
Int J Health Serv. 1992;22(1):19-44. doi: 10.2190/LM05-YRTT-WT7C-YCWK.
Many changes have taken place in the professional status and political role of the Spanish medical profession during the process of construction of the health care system (1940-1990). There is a strong correlation between the different characteristics of the several phases of construction of the national health care system and some of the changes in the status, organization, and political activity of the medical profession. The democratic transition coincided with changes in the orientation of the system brought about by financial imperatives, which forced readjustments in the survival and political projects of the profession. The creation of a democratic regime has allowed the medical profession to create its own independent mechanisms of interest representation and has given rise to a process of negotiation of the new political relations (and their mechanisms) between the State and the profession. The last 15 years have witnessed important transformations in some parameters of the profession, in its political organization, its political role, and its relation with the State.
在医疗保健体系建设过程（1940 - 1990年）中，西班牙医学专业的职业地位和政治角色发生了许多变化。国家医疗保健体系建设各阶段的不同特征与医学专业在地位、组织和政治活动方面的一些变化之间存在着密切的相关性。民主转型与财政需求引发的体系方向变化同时出现，这迫使医学专业在生存和政治规划方面进行调整。民主政权的建立使医学专业能够创建自己独立的利益代表机制，并引发了国家与该专业之间新政治关系（及其机制）的谈判进程。在过去15年里，该专业在一些参数、政治组织、政治角色以及与国家的关系方面都发生了重要转变。
