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[19世纪的常规疫苗接种。作为卢塞恩州天花疫苗接种背景的医患关系]

[General vaccination in the 19th century. The relationship between the physician and the population as the background of smallpox vaccination in the Lucerne canton].

作者信息

Steinmann M

出版信息

Gesnerus. 1995;52(1-2):66-82.

PMID:7665107
Abstract

This summary describes the vaccination practices in a rural area in Switzerland in the 19th century. Using reports of the vaccinating physicians and records of the local authorities a differentiated picture of the interests and behaviors of the involved social groups was obtained. Efforts at compulsory vaccination were counteracted by a variety of factors like shortage of vaccine, opposition by the people on the grounds of interference with private lives and mistrust in modern medicine and academically trained physicians, and even reservation by the vaccinating physicians themselves. Nevertheless, the practice of vaccination became a significant factor in the general process of medicalization, thus improving the position of the medical profession and furthering the public health movement by strengthening the the bonds between medical knowledge and state power.

摘要

本摘要描述了19世纪瑞士一个农村地区的疫苗接种情况。通过接种医生的报告和地方当局的记录,我们了解到了相关社会群体的利益和行为的不同情况。强制接种疫苗的努力受到了多种因素的阻碍,如疫苗短缺、民众以干涉私人生活为由的反对、对现代医学和受过学术训练的医生的不信任,甚至接种医生自身也有所保留。尽管如此,疫苗接种实践成为了医疗化总体进程中的一个重要因素,从而提升了医学专业的地位,并通过加强医学知识与国家权力之间的联系推动了公共卫生运动。

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