Adams Tracey L
Department of Sociology, University of Western Ontario.
Can Bull Med Hist. 2017 Fall;34(2):364-392. doi: 10.3138/cbmh.177-20042016. Epub 2017 Mar 23.
The regulation of foot health care professionals varies across provinces in Canada. In Ontario, the regulated health profession is chiropody. Chiropodists are foot specialists with a limited scope of practice. In contrast, British Columbia and five other provinces regulate podiatrists, who are highly trained foot physicians with an extensive scope of practice. This article explores the history of chiropody/podiatry in Ontario and British Columbia from the early 1900s through the 1980s in order to understand how professional development in this field took such divergent paths within Canada. In so doing, it not only sheds light on a health practice that has received little scholarly attention, but it also highlights the centrality of inter-professional conflict and state actors' agendas to professional regulatory outcomes.
加拿大各省对足部保健专业人员的监管各不相同。在安大略省,受监管的健康职业是足病学。足病医生是足部专家,其执业范围有限。相比之下,不列颠哥伦比亚省和其他五个省份对足科医生进行监管,足科医生是训练有素的足部医生,执业范围广泛。本文探讨了20世纪初至80年代安大略省和不列颠哥伦比亚省足病学/足科医学的历史,以了解该领域的专业发展在加拿大境内是如何走上如此不同的道路的。这样做,它不仅揭示了一种很少受到学术关注的健康实践,而且还突出了跨专业冲突和国家行为者议程对专业监管结果的核心作用。