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Medical Dominance and Institutional Change in the Delivery of Health Care Services

机译:医疗主导地位和医疗服务提供机构的变化

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This paper puts the theory of medical dominance, as it understood as a sociological theory of historical change, into a broader theory of institutional change of the delivery of medical care. The application of medical dominance theory to three institutional contexts (Australia, USA, and Canada) is reviewed. The possibility of progressive institutional change in the delivery of medical care is addressed, as well as the type of technological innovation that might accompany such institutional change. The concept of medical dominance is useful to explain the dominant characteristics supporting the institution of medical practice. However, an explanatory theory of the evolution of health care delivery should be linked to the instrumentally warranted standards for medical care. These standards are then discussed.
机译:本文将被认为是历史变化的社会学理论的医学优势理论,纳入了更广泛的医疗服务制度变迁理论。综述了医学优势理论在三个制度背景下的应用(澳大利亚,美国和加拿大)。讨论了在医疗服务中进行渐进式机构变更的可能性,以及这种机构变更可能伴随的技术创新类型。医疗优势的概念有助于解释支持医疗实践制度的主要特征。但是,有关医疗服务发展的解释性理论应与有保证的医疗服务标准联系起来。然后讨论这些标准。

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