Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada.
Can J Health Hist. 2024 Sep;41(2):219-246. doi: 10.3138/cjhh.675-092023. Epub 2024 Sep 5.
A blind spot in the history of the healthcare professions is the evolution of "technical" professions, particularly after 1970. However, these professions underwent major changes at the end of the 20th century. We propose two case studies, on Quebec's paramedics and respiratory therapists' professional projects. The projects and strategies of the two groups, which had previously differed, tended to converge after 1995. From then, both groups minimize their relationship with machines and technology. Instead, they claim new tasks focused on clinical evaluation and first-line intervention. Public reforms appear to be shaping this evolution in the political strategies, professional projects and even clinical preferences, of these healthcare professions after 1995.
医疗保健专业历史上的一个盲点是“技术”专业的演变,特别是在 1970 年后。然而,这些专业在 20 世纪末经历了重大变革。我们提出了两个案例研究,一个关于魁北克的护理人员,另一个关于呼吸治疗师的专业项目。这两个群体的项目和策略在此之前有所不同,但在 1995 年后趋于趋同。从那时起,两个群体都尽量减少与机器和技术的关系。相反,他们主张承担新的任务,重点是临床评估和一线干预。公共改革似乎正在塑造这些医疗保健专业在 1995 年后的政治策略、专业项目甚至临床偏好方面的演变。