Navarro V
Int J Health Serv. 1985;15(4):525-45. doi: 10.2190/F2L6-TKY2-KJLX-WYMB.
This article makes a review of 1.) dominant analyses of health and medicine in the social sciences of the U.S. and 2.) Marxist critiques of these analyses. It presents the roots of Marxist scholarship in the study of health and medicine and discusses the main Marxist critiques of the hegemonic pluralist and power elite interpretations of the institutions of medicine and of their corporatization. It also reviews Marxist studies of 1.) the crisis of medicine; 2.) the relationship between production, work, and health; and 3.) imperialism, health, and medicine. It concludes with a discussion of the operational meaning of Marxism in health and medicine, with presentation of current Marxist debates on socialist medicine and their consequences for political praxis.
1）美国社会科学中对健康与医学的主流分析；2）马克思主义对这些分析的批判。它阐述了马克思主义学术在健康与医学研究中的根源，并讨论了马克思主义对医学机构及其公司化的霸权多元主义和权力精英解释的主要批判。它还回顾了马克思主义对以下方面的研究：1）医学危机；2）生产、工作与健康之间的关系；3）帝国主义、健康与医学。文章最后讨论了马克思主义在健康与医学中的实际意义，并介绍了当前关于社会主义医学的马克思主义辩论及其对政治实践的影响。
