摘要
传统社会的"医疗空间",不管是民间的"家族医疗空间",还是宫廷的"皇家医疗空间",均是与传统的社会结构相配合的,而且要严格遵照家族系统的伦理原则来建构。只要"高度特殊化"及高度"功能普化"的家族共同体系统无法突破,"高度普遍化"的社会公共空间就不可能生长发育,而孕育于其中的高度"功能专化"的现代医疗空间也就无法形成。从传统到现代的社会转型中,"家族医疗空间"历经了向"单位医疗空间"平稳过渡的转变,然而,以市场化为导向的医疗体制改革,产生了"制度变革"超越"结构转型"的后果。
＂medical space＂ in raditional society, whose principles stnctty comply with me emlcat pnnclples oi the family system, is compatible with social structure, no matter the＂ medical space in family set＂, or the ＂medical space in imperial set＂. So as long as familial community system of ＂highly specilizing＂ and ＂functionnaUy diffusing＂ is unable to be broken through, it ＂s impossible to give birth to the social public space of ＂highly generalizing＂. Either does modern medical service space of ＂functionnally specificity＂ which is gestated from ＂highly generalizing＂. From traditional society to modern society, ＂medical space in family＂ transits to ＂medical space in units＂ smoothly. However, market - oriented reform of medical system has a consequence of ＂system change＂ overweighting ＂restructuring＂.
出处
《中国医学伦理学》
2008年第3期130-132,138,共4页
Chinese Medical Ethics
关键词
家族医疗空间
反职业主义
自足主义
制度变革
结构转型
medical services in family set
counter- professional principle
self- sufficient principle
system change
restructuring
