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对先进技术的渴望与适宜性的逆转:20 世纪 60 年代至 80 年代韩国腹腔镜绝育术与小剖腹术的技术竞争。

The Desire for Advanced Technology and the Reversal of Appropriateness: the Technological Competition between Laparoscopic Sterilization and Mini-laparotomy in 1960-80s South Korea.

机构信息

Research Fellow, Department of Humanities and Social Medicine, the Catholic University of Korea.

出版信息

Uisahak. 2022 Apr;31(1):263-296. doi: 10.13081/kjmh.2022.31.263.

Abstract

This article examines the technological competition between laparoscopic sterilization and mini-laparotomy from the 1960s to the 1980s in South Korea and analyzes the motives of obstetricians and gynecologists for participating in the Family Planning Program. Obstetricians and gynecologists were key actors in implementing the Program in the front line, but there is not enough research on why they became involved in the Program. Preceding studies describe the doctors as those who internalized historicism combined with population problems and devoted themselves to the cause of the state. However, it is difficult to find concerns about the nation's future in the oral statements or memoirs of those who participated in the Program. This research focuses on the fact that laparoscopic sterilization, a complex and expensive technology, proliferated, rather than simple and inexpensive mini-laparotomy in South Korea, a low-income country where the Family Planning Program was implemented. This study also argues that behind this reversal of appropriateness lay the desire for advanced technology of elite obstetricians and gynecologists that cannot be reduced to the cause of the state.

摘要

本文考察了 20 世纪 60 年代至 80 年代韩国腹腔镜绝育术和小剖腹术之间的技术竞争,并分析了妇产科医生参与计划生育项目的动机。妇产科医生是计划生育项目实施的前线关键参与者,但关于他们为何参与该项目的研究还不够充分。先前的研究将医生描述为那些将历史主义与人口问题相结合并致力于国家事业的人。然而,在参与该计划的人的口头陈述或回忆录中,很难找到对国家未来的关注。本研究关注的是这样一个事实,即在韩国这样一个实施计划生育项目的低收入国家,腹腔镜绝育术这种复杂且昂贵的技术得到了广泛应用,而简单且廉价的小剖腹术却没有得到普及。本研究还认为,这种适当性的逆转背后,是精英妇产科医生对先进技术的渴望,这种渴望不能简单地归结为国家事业的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa9/10568176/73b3003f6ebc/kjmh-31-1-263f1.jpg

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