Levi Baruch, Davidovitch Nadav, Dopelt Keren
Department of Health Policy and Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 8410501, Israel.
Department of Public Health, Ashkelon Academic College, Ben Tzvi St. 12, Ashkelon 78211, Israel.
Healthcare (Basel). 2021 Sep 25;9(10):1264. doi: 10.3390/healthcare9101264.
This study aims to explore what medical associations in Israel do to promote public health, what values underpin their activities, and how their actions can be interpreted. For this purpose, an analysis of both individual and organizational levels was applied in an effort to yield a more nuanced understanding of the relationship between society and the medical profession. In-depth interviews with senior physicians were conducted, combined with a review of policy and public initiatives of medical associations between 2008 and 2018. The findings of this study reveal that medical associations engage in a range of social and policy initiatives designed to promote public health, but, at the same time, they tend to construct socially related health issues as medical problems in a manner that fits their sectorial agendas. This may reflect organized medicine's efforts to extend its dominance over society through the application of the biomedical model to social issues. It is necessary to integrate biosocial training with medical education to ensure that future physicians are equipped with the skills needed to implement social medicine.
本研究旨在探讨以色列的医学协会为促进公众健康做了什么，其活动背后的价值观是什么，以及如何解读其行动。为此，对个人和组织层面进行了分析，以期对社会与医学专业之间的关系有更细致入微的理解。对资深医生进行了深入访谈，并结合对2008年至2018年医学协会政策和公共倡议的审查。本研究结果表明，医学协会参与了一系列旨在促进公众健康的社会和政策倡议，但与此同时，它们倾向于以符合其部门议程的方式将与社会相关的健康问题构建为医学问题。这可能反映了有组织的医学通过将生物医学模式应用于社会问题来扩大其对社会的主导地位的努力。有必要将生物社会培训与医学教育相结合，以确保未来的医生具备实施社会医学所需的技能。
