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管辖权边界的流动:国家、专业与医生分工体系

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英文标题: The Flow of Jurisdictional Boundaries: State, Specialty and Doctors’ Division of Labor
摘要: 在大规模医疗援助中,大量专长不一的医生在危机情境下应对共同的疾病,这打破了医生管辖权的既有边界。基于一线援助医生的口述资料,本文将援助行动大体上分为三个阶段。在每个阶段,危机情境与管辖权的边界都处于变动之中,每一方对另一方来说都构成了一种重要的外部推动力。其中,国家权力在重塑管辖权边界上具有特别重要的意义。尽管医生管辖权的边界不断地流动,但维持边界的力量(尤其是专业权力)并没有消失,这显示了管辖权边界的韧性。这项研究同时提醒我们,在内部分工意义上,现代医院的医生不可能有完全的管辖权,在疾病错综复杂和生命至上的前提下,每一次医疗活动都体现出有差序、有合作的景象。
英文摘要: A multitude of doctors with dissimilar expertise will treat common disease under crisis in large-scale medical assistance, which breaks the existing jurisdictional boundaries. In this research, aid operations were divided into three phases based on doctors dictation. Results find that the boundary between crisis and jurisdiction is always in flux and each party constitutes a significant external impetus for the other, with state power being of particular importance in reshaping jurisdictional boundaries. Despite the flux, the force to maintain borders (especially professional power) doesn’t disappear, which shows the resilience and solidity of jurisdictional boundaries. It is highlighted doctors in modern hospitals cannot have complete jurisdiction in the sense of internal labor division. Each medical activity reflects a scene of differential order and cooperation under the premise of complex disease and life supremacy.
作者: 余成普
作者单位: 中山大学社会学与人类学学院
期刊: 社会学研究
年.期:页码 2021.5:
中图分类号:
文章编号:
关键词: 医生;大规模医疗援助;管辖权;边界工作
英文关键词:
项目基金:

本文受云南大学民族学学科“新型冠状病毒感染肺炎疫情社会科学调查研究应急项目”(XNUXG-010)资助。

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