医疗实践演变与卫生现代化  

Medical Practice Development and Healthcare Modernization

作　　者：石任昊[1] Shi Renhao

机构地区：[1]华东政法大学社会发展学院

出　　处：《社会发展研究》2023年第2期223-241,M0007,共20页Journal of Social Development

基　　金：教育部人文社会科学研究青年基金项目“城市公立医院医患纠纷的发生机制与治理优化研究”(项目编号:18YJC840031;主持人:石任昊);华东政法大学2020年本科通识课程建设项目“医学与社会”(主持人:石任昊)的阶段性成果。

摘　　要：近代以来,中国的医疗实践经历了“在地化”(1912—1949)、“国家化”(1949—1978)、“市场化”(1978年至今)三个继替阶段,凸显了经由医疗而进行的国家整合社会的历史轨迹,即国家通过医疗制度的收束进而获致政治合法性认同的卫生治理演进。医疗实践发展与深化的历程需要在中国式现代化的框架下解读,西式精神与本土禀赋之间的关系调适构成了中国卫生现代化的脉络。Since modern times,medical practice in China has undergone three successive stages,i.e.,“localization”(1912—1949),“nationalization”(1949—1979),and“marketization”(1979--present).The three phases show the historical trajectory of state integration of society through medical care,i.e.,the evolution of health governance in which the state has gained political legitimacy by building and regulating the healthcare system.We should understand the development course of medical practice in China within the framework of Chinese-style modernization.The adjustment in the relationship between the Western spirit and local endowments forms the context of China's“healthcare modernization.”

关 键 词：医疗实践 在地化 国家化 市场化 卫生现代化 

分 类 号：R-09[医药卫生]