摘要
本文试图利用社会资本理论的三大基本要素信任、互惠规范和关系网络来观察和分析赤脚医生时期的农村社区医患关系。研究发现,它对于赤脚医生与农村居民之间稳固持久、健康和谐的社区医患关系具有强解释力。赤脚医生时期所形成的本土经验即社会相似性信任、互惠性社会道德规范和同质性横向关系网络,虽然对于当代中国具有一定的历史局限性,但是对于农村社区医患关系重塑仍具有重大启发。研究结果还初步证明了新医改的成功不仅有赖于体制机制"显性改革",同时也离不开另一场看不见的"隐性改革"。
Attempting to utilize three principal factors of social capital theory which are includes trust, reciprocal norm and relationship networks, this paper observes and analyzes rural community doctor-patient relationship in the period of barefoot doctors. It discovers that social capital theory has strong explanation for steady and persistent,healthy and harmonious community doctor-patient relationship between barefoot doctors and rural residents. Although those indigenous experiences formed from barefoot doctors,i.e. social similarity trust, reciprocal norm of social ethics and homogeneous horizontal relationship networks have historical limitations to contemporary China, they still have significant implications to re-building of rural community doctor-patient relationship. This study result also indicates preliminarily that the success of New Health Reform not only depends on system and mechanism reform which can be observed explicitly, but also depends on another invisible reform.
出处
《社会主义研究》
CSSCI
北大核心
2014年第6期119-127,共9页
Socialism Studies
基金
2014年度国家社会科学基金一般项目"农村社区医生和居民契约服务关系研究"(14BSH034)
2014年度河南省哲学社会科学规划项目"全面深化农村改革进程中社区卫生服务关系研究"(2014BSH014)
关键词
赤脚医生
信任
互惠规范
关系网络
医患关系
Barefoot Doctors
Trust
Reciprocal Norm
Relationship Networks
Doctor-Patient Relationship
