Imershein A W, Estes C L
Department of Sociology, Florida State University, Tallahassee 32306, USA.
Int J Health Serv. 1996;26(2):221-38. doi: 10.2190/V8XP-02T5-E44C-BHWG.
In recent years the language and logic of medical care have moved from providing medical services to marketing product lines. Analysis in this article examines this task transformation and its implications for transformation of the nonprofit sector and of the state. The authors argue that these transformations are essential explanatory elements to account for the origins of medical services in the nonprofit sector, the early exclusion of capitalist organizations from hospital care, and the changes that fostered corporate entry. To wit, medical care tasks have undergone a two-stage transformation. The first transformation changed open-ended, ill-defined services with uncertain funding into more highly organized and codified services with stable funding, attracting both capitalist enterprises and capitalist logic into the nonprofit sector. The second transformation standardized medical care tasks into product lines, a process that also challenged the status of the nonprofit organizations performing these tasks. In an analysis of the second transformation, the authors argue that this challenge is in the process of turning back upon itself, undermining the conditions that fostered capitalist entry into medical care delivery in the first place.
近年来，医疗保健的语言和逻辑已从提供医疗服务转向营销产品线。本文的分析探讨了这一任务转变及其对非营利部门和国家转型的影响。作者认为，这些转变是解释非营利部门医疗服务起源、资本主义组织早期被排除在医院护理之外以及促成企业进入的变化的重要因素。具体而言，医疗保健任务经历了两个阶段的转变。第一次转变将资金不确定的开放式、定义不明确的服务转变为资金稳定、组织更严密且规范的服务，吸引了资本主义企业和资本主义逻辑进入非营利部门。第二次转变将医疗保健任务标准化为产品线，这一过程也对执行这些任务的非营利组织的地位构成了挑战。在对第二次转变的分析中，作者认为这一挑战正在自我反噬，从根本上破坏了促使资本主义进入医疗服务提供领域的条件。
