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[19世纪牙科服务市场的变革与牙科执业垄断之争]

[The transformation of the dental services market and the battle over a monopoly in 19th century dental practice].

作者信息

Carvalho Cristiana Leite

机构信息

Pontifícia Universidade, Católica de Minas Gerais, Rua Rio de Janeiro 2251/601, Bairro Lourdes 30160-042 Belo Horizonte, MG, Brasil.

出版信息

Hist Cienc Saude Manguinhos. 2006 Jan-Mar;13(1):55-76. doi: 10.1590/s0104-59702006000100004.

Abstract

The article analyzes the process by which dentistry acquired the status of a profession. The setting is the mid-nineteenth-century United States, where the West's first professional dental organizations were founded, and the focus is on some aspects of the development of a dental market and on the professional disputes among practitioners of the dental trade, who wanted a monopoly within this field of knowledge. Certain outside factors played a major role in the emergence of the profession, including changes in patterns of sugar consumption (which spread dental caries disease throughout society) as well as the expansion of the dental service market. The subsequent proliferation of distinct groups of dental practitioners--both qualified and unqualified to practice dentistry--and their competition for a place in the dental market reflect the battle waged to establish jurisdiction in this field and the emergence of dentistry as a 'modern profession'.

摘要

本文分析了牙科成为一门专业的过程。背景设定在19世纪中叶的美国,当时西方首个专业牙科组织成立,重点关注牙科市场发展的某些方面以及牙科行业从业者之间的专业争端,这些从业者希望在这一知识领域内形成垄断。某些外部因素在该专业的兴起中起到了主要作用,包括食糖消费模式的变化(这使龋齿疾病在全社会蔓延)以及牙科服务市场的扩张。随后,不同类别的牙科从业者——既有资质的也有不具备牙科从业资质的——不断涌现,他们在牙科市场中争夺一席之地,这反映了在该领域确立管辖权的斗争以及牙科作为一门“现代专业”的兴起。

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