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1917年在罗德岛行医

Practicing Medicine in 1917 Rhode Island.

作者信息

Olszewski Todd M

机构信息

Assistant Professor of Health Policy and Management, Providence College, Providence, RI.

出版信息

R I Med J (2013). 2017 Dec 1;100(12):63-67.

Abstract

Using editorials published in the Rhode Island Medical Journal's inaugural year, this article examines what it meant to practice medicine in Rhode Island in 1917. One hundred years ago, the state's medical community was undergoing rapid transformation epitomized by a turn toward the germ theory of disease, ongoing education and hospital reform, and a growing sense of the profession's political and social role. In many ways, the social and professional concerns of Rhode Island physicians in 1917 continue to resonate today. Physicians writing in the Journal were excited by but concerned about technological advancement in medicine, debating how new institutions and sites of care would shape their interactions with patients. They were also influenced by broader social changes affecting the medical profession, expressing ambivalence toward regulation, debating the implications of social insurance and compulsory health insurance, and reflecting on their financial livelihood and the social prestige of their profession. [Full article available at http://rimed.org/rimedicaljournal-2017-12.asp].

摘要

本文利用发表于《罗德岛医学杂志》创刊当年的社论,探讨了1917年在罗德岛行医意味着什么。一百年前,该州的医学界正在经历迅速变革,其典型表现为转向疾病的病菌理论、持续的教育和医院改革,以及对该行业政治和社会角色的认识不断增强。在许多方面,1917年罗德岛医生的社会和职业关切在今天仍能引起共鸣。在该杂志上撰文的医生们对医学技术进步感到兴奋,但也对此表示担忧,他们讨论新的医疗机构和护理场所将如何塑造他们与患者的互动。他们还受到影响医学行业的更广泛社会变革的影响,对监管表达矛盾态度,讨论社会保险和强制医疗保险的影响,并思考他们的经济生计和职业的社会声望。[完整文章可在http://rimed.org/rimedicaljournal-2017-12.asp查看]

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