Mold Alex
Centre for History in Public Health, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT email:
J Soc Policy. 2010 Oct;39(4):505-521. doi: 10.1017/S0047279410000231.
This article presents an historical overview of the changing meaning of the patient-consumer, and specifically the role played by patient groups in constructing the patient as consumer. It is argued that patient groups were central to the formation of the patient-consumer, but as health consumerism was taken on by the state, they lost control of this figure. Competing understandings of what it meant to be a patient-consumer developed, a shift that raises further questions about the unity of claims made in the name of the patient-consumer.
本文概述了患者-消费者这一概念含义的历史变迁,尤其探讨了患者群体在将患者塑造为消费者过程中所扮演的角色。文章认为,患者群体对于患者-消费者概念的形成至关重要,但随着国家接纳了健康消费主义,他们失去了对这一概念的掌控。对于何为患者-消费者出现了相互竞争的理解,这一转变引发了更多关于以患者-消费者之名提出的主张的统一性的问题。