Berliner H S
Int J Health Serv. 1975;5(4):573-92. doi: 10.2190/F31Q-592N-056K-VETL.
This paper is an attempt to place the Flexner Report of 1910 in the larger perspective of dynamics of American society in the years surrounding the turn of the 19th century. It looks at medicine as an integral part of society affected by the contradictions affecting the larger society. The Flexner Report is viewed as an attempt by the capitalist class to ameliorate those contradictions affecting medicine. The events preceding the publication of the Flexner Report are described in detail, and some problems with conventional accounts of the origins of the Flexner Report are discussed. In addition, the paradigm of medicine that was institutionalized with the acceptance and implementation of the Flexnerian recommendations is discussed.
本文试图将1910年的《弗莱克斯纳报告》置于19世纪之交前后美国社会动态的更广阔视角中。它将医学视为受影响更大社会的矛盾所影响的社会不可或缺的一部分。《弗莱克斯纳报告》被视为资产阶级试图缓和影响医学的那些矛盾的一次尝试。详细描述了《弗莱克斯纳报告》发表之前的事件，并讨论了关于《弗莱克斯纳报告》起源的传统说法中存在的一些问题。此外，还讨论了随着弗莱克斯纳建议的接受和实施而制度化的医学范式。
