Decline vs. retention of medical power through restratification: an examination of the Ontario case
Decline vs. retention of medical power through restratification: an examination of the Ontario case
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通过重新分层减少医疗权力与保留医疗权力：对安大略省案例的审查
DOI：
10.1111/j.1467-9566.1997.tb00013.x
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发表时间：
1997
影响因子：
2.9
通讯作者：
I. Bourgeault
中科院分区：
文献类型：
--
作者：
D. Coburn;S. Rappolt;I. Bourgeault
虽然有些人认为医疗力量正在下降，但其他人不同意。特别是，Freidson资产，医学正在限制与医疗精英保留对医疗保健的控制，虽然从业者正在失去他们的个人自主权，这些精英。我们使用的情况下，国家在安大略的医疗关系，以检查限制的论点。我们的研究结果表明，国家通过限制部分控制医药。医疗机构和精英有部分国家合作。这种情况也意味着，控制的背景下的护理和医疗实践的内容是不分开的假设，专业从业者的关系越来越成问题，自治的概念本身需要理论和经验的规范，以及存在的自我监管和代表性的组织不能等同于实际的专业自我监管。强调了医疗力量的偶然性。
Abstract Abstract Though some argue that medical power is declining, others disagree. In particular, Freidson assets that medicine is being restratified with medical elites retaining control over health care though practitioners are losing their individual autonomy to these elites. We use the case of state-medicine relationships in Ontario to examine the restratification thesis. Our findings indicate that the state partially controls medicine through restratification. There is partial state co-option of medical organisations and elites. This case also implies that control over the context of care and over the content of medical practice is not as separate as assumed, that profession-practitioner relationships are increasingly problematic, that the concept of autonomy itself requires theoretical and empirical specification, and that the existence of self-regulatory and representative organisations cannot be equated with actual professional self-regulation. The contingent nature of medical power is underlined.