Hezekiah J A
School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Int J Health Serv. 1989;19(1):79-93. doi: 10.2190/VQ42-MYBV-CTFA-EC0W.
This article is part of a study that described and analyzed the development of nursing education in Trinidad and Tobago from self-government in 1956 to 1986, with special emphasis on the forces that helped to shape the society from colonial times, and consequently, nursing education. Adaptation and application of major concepts from theories of underdevelopment and development and colonialism formed the basis of the study's theoretical framework. The article focuses on the impact of the metropolitan countries on the development of health care policies. Because of the nation's historical legacy of colonialism and its current linkages with the United States and Canada, a major area fundamental to the analysis was to determine whether those two countries had superseded traditional British influences in determining health care policies. This raised the issue of whether or not health care policies could be autonomously developed to meet the needs of the people.
本文是一项研究的一部分，该研究描述并分析了特立尼达和多巴哥从1956年自治至1986年的护理教育发展情况，特别强调了自殖民时代以来有助于塑造该社会的各种力量，以及由此产生的护理教育。对欠发达与发展理论以及殖民主义理论中主要概念的改编和应用构成了该研究理论框架的基础。本文重点关注宗主国对医疗保健政策发展的影响。鉴于该国殖民主义的历史遗留问题及其目前与美国和加拿大的联系，分析的一个主要基本领域是确定这两个国家在决定医疗保健政策方面是否已经取代了传统的英国影响。这就提出了医疗保健政策能否自主制定以满足人民需求的问题。
