Chanfreau D
Int J Health Serv. 1979;9(1):87-105. doi: 10.2190/HF3J-UQE1-R08T-BAHP.
Doctors' ideology and the role the medical profession plays in the organization and development of health services of a particular country are subjects of scientific interest. This article examines the case of Chile, where doctors centralized administrative and professional power over the type of health services provided to the population. Changes in this ideology throughout the century have been reflected in changes in the system of medical care. A shift can be traced from a professional ideology emphasizing socialized medical services during the first half of the century toward the current position favoring the abolition of free medical care and a return of "fee per service" medicine. The possible explanation for these changes is that medical ideology has altered through the combined influence of the class position of physicians and the development of the profession itself. Increasing polarization of the political forces in Chile led doctors to act according to their class affiliation, regardless of their original professional positions. Some historical facts are provided at each stage of analysis as a way of clarifying the conflicting influences upon the doctors' position.
医生的意识形态以及医疗行业在特定国家卫生服务的组织与发展中所扮演的角色，是科学研究的关注点。本文以智利为例进行考察，在智利，医生们集中了对向民众提供的医疗服务类型的行政与专业权力。整个世纪以来这种意识形态的变化已反映在医疗保健体系的变化之中。可以追溯到一种转变，即从本世纪上半叶强调社会化医疗服务的专业意识形态，转向当前支持废除免费医疗并回归“按服务收费”医疗模式的立场。对这些变化的一种可能解释是，医疗意识形态是通过医生的阶级地位与该行业自身发展的综合影响而发生改变的。智利政治力量日益两极分化，导致医生们根据其阶级归属行事，而不顾他们原本的专业立场。在每个分析阶段都提供了一些历史事实，以此来阐明对医生立场的相互冲突的影响。
