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医学与加拿大政府:从冲突政治到和解政治?

Medicine and the Canadian state: from the politics of conflict to the politics of accommodation?

作者信息

Williams A P, Vayda E, Cohen M L, Woodward C A, Ferrier B M

机构信息

Department of Health Administration, University of Toronto, Ontario, Canada.

出版信息

J Health Soc Behav. 1995 Dec;36(4):303-21.

PMID:8719050
Abstract

This paper analyzes data from three large-scale surveys of Canadian physicians conducted over the past decade to examine the politics of a cohort of recently established family physicians in Ontario, and to assess the extent to which these politics represent a "softening" of professional resistance to government health insurance. Politically, this is an important cohort because the physicians in it have grown up without any firsthand knowledge of the pre-Medicare period, and because they are among the first to establish practices in the wake of the month-long 1986 Ontario physicians' strike, a high point of profession-government conflict. Factors which may have contributed to a moderation of medical politics include the progressive entry of women into medicine. Our data suggest that professional opposition to Medicare is declining and that fewer physicians support a return to voluntary and commercial control of the health system, a shift which could assist in breaking the historical cycle of profession-government conflict and moving to the politics of accommodation. In the conclusions we discuss implications for medical politics in Canada and other countries such as the United States.

摘要

本文分析了过去十年间对加拿大医生进行的三项大规模调查的数据,以研究安大略省一群新成立的家庭医生的政治情况,并评估这些政治情况在多大程度上代表了专业人士对政府医疗保险抵制的“软化”。从政治角度来看,这是一个重要的群体,因为其中的医生在成长过程中没有对医疗保险前时期的任何第一手了解,而且他们是在1986年为期一个月的安大略省医生罢工(这是职业与政府冲突的一个高潮)之后最早开业行医的一批人。可能导致医疗政治缓和的因素包括女性逐渐进入医学领域。我们的数据表明,专业人士对医疗保险的反对正在减少,支持回归对医疗系统的自愿和商业控制的医生也越来越少,这一转变有助于打破职业与政府冲突的历史循环,并转向和解政治。在结论部分,我们讨论了这对加拿大以及美国等其他国家医疗政治的影响。

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