医療システムの変貌 : 医師の地位変化をめぐって

概要

論文の詳細を見る
Medial systems in advanced societies are said to be in time of change. Considerable differences do exist among them, but common factors such as change in proportion of disease, emergence of aging society, develoment of medical science and technology, increasing interest in health, and rising medical cost give them rather similar environment to adapt. In this paper, instead of overviewing general trends, structural constellation of physician's changing status will be depicted to illustrate the overall transformation of medical system. This strategic focus is chosen by the fact that the transformation could nowhere more vividly visualized in the status change of central figures of medical world. Bearing this purpose in mine, (1)after examining methodological problems, recent American studies about the decline in physician's status, here classified as "deprofessionalization" and "proletarianization" theses are to be examined respectively, then (2)systematically integrating their findings, a structural diagram named "Challenge to autonomy - its structural configuration" will be presented, and changing aspects of relationships physicians have had with surrounding social groups will be explicated to some detail, and (3)a substantial question to be answered and methodological procedures to be needed will briefly be referred.
社会・経済システム学会の論文
1991-10-25