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The Changing Relationship between Chinese Urban Medical Profession and the State since the republican Period: From the perspective of the sociology of professions
The relationship between professions and the state is one of the most important issues in the sociology of professions. Using the analytical framework of corporateclinical autonomy dynamic relationship, this article delineates and analyzes the changing relationship between the (western) medical profession and the Chinese state since the Republican period. Before 1949, growing medical profession and the newborn state was in “interconstruction.” From 1949, the communist regime transformed medical professionals into the members of work unit successfully. The profession was tamed and became functionary of the state. Although China began the reform in 1978, public healthcare institutions still dominate the delivery of healthcare services. Therefore, the practitioners are still dependent upon work units. Meanwhile, they have the dominance over both patients and medical enterprises, through which the profession gain economic interests from the market. But the cost is that the practitioners have become the buffer between patients and the government. Therefore the further reform of healthcare system should reconstruct the relationship between the profession and the state.
|关键词：||职业 职业自主性 国家 法团自主性 临床自主性 依附|