Grishin S E, Demidova E I, Puchinyan D M, Fedonnikov A S, Norkin L A
The Federal State Budget Educational Institution of Higher Education "The G.V. Plekhanov Russian Economic University" of the Minobrnauki of Russia, Saratov, 410003, Russia,
The Federal State Budget Educational Institution of Higher Education "The G.V. Plekhanov Russian Economic University" of the Minobrnauki of Russia, Saratov, 410003, Russia.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2017 Nov;25(6):371-373. doi: 10.1016/0869-866X-2017-25-6-371-373.
The article considers process of institutionalization of Russian traumatology and orthopedics. It is demonstrated that process of institutionalization goes on in undulating manner takes in average about 50 years, from the moment of statement of a question to ultimate assignment of specialty of traumatology and orthopedics, organization of institutes and chairs of traumotology and orthopedics with alternation of dominance of ducens- and mandate model. On the basis of developed criteria chronological clusters and periods. The selection of traumatology and orthopedics into independent field was related not to a transition to a new stage of development of science but to general process of increasing of differentiation and specialization in medicine.
本文探讨了俄罗斯创伤学与矫形外科学的制度化进程。研究表明,制度化进程呈波浪式推进,从提出问题到创伤学与矫形外科学专业最终确立、创伤学与矫形外科学研究所及教研室的组建,平均耗时约50年,其间主导模式在双轨制模式和指令性模式之间交替。基于所制定的标准划分出了时间集群和时期。创伤学与矫形外科学成为独立学科领域,并非是因为科学发展进入了新阶段,而是医学领域分化与专业化不断加剧这一总体进程的结果。