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好医生的业务,抑或作为好业务的行医:对弗里德森医学博弈观的思考

The business of good doctoring or doctoring as good business: reflections on Freidson's view of the medical game.

作者信息

McKinlay J B

出版信息

Int J Health Serv. 1977;7(3):459-88. doi: 10.2190/RQ9X-DXER-L52M-KN51.

Abstract

This paper reflects on selected aspects of the work of Eliot Freidson and is based mainly on his three latest books--Profession of Medicine, Professional Dominance, and Doctoring Together--in which he draws together his various contributions and elaborates a substantial argument concerning the dominant position of physicians within the institution of medicine in particular and, more generally, their unique position within the broader society. Freidson's work is considered from the perspective of political economy. The paper discusses, on a broad level, some of the assumptions underlying his analysis, the adequacy of his theoretical orientation and level of analysis for understanding the House of Medicine in the United States, and some implications that follow.

摘要

本文反思了埃利奥特·弗里德森著作的某些方面,主要基于他的三本最新著作——《医学职业》《专业主导》和《共同行医》——他在这些书中总结了自己的各种贡献,并阐述了一个重要观点,即医生在医学机构中,尤其是在整个社会中,处于主导地位。本文从政治经济学的角度审视弗里德森的著作。文章在宽泛层面上讨论了他的分析所基于的一些假设、其理论取向和分析水平对于理解美国医学体系的充分性,以及由此产生的一些影响。

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