转制冲动与属性回归: 1950年代我国联合医疗机构的制度史考察

Institutional Impulse and Attribute Regression: A Review of Institutional History of United Medical Institutions in 1950' s of China

  • 摘要: 合作性质的联合医疗机构曾在中华人民共和国成立初期的医疗体系中发挥重要的补充作用。组织联合医疗机构实现了将社会开业医生“组织起来”的目的,并被视为“从私医制过渡到公医制的桥梁”。随着社会主义三大改造的提前完成和社会主义建设高潮的出现,实现经济社会跨越式发展的冲动同样影响到医疗卫生领域,1956年出现了联合诊所全部由国家接办的动议。遵照刘少奇等中央领导人的指示,经过卫生部门和各级政府的调研,转制问题逐渐回归原初的制度设计,回归医疗卫生资源短缺的基本国情,公有制为主体、多种所有制形式的医疗机构并存最终成为共识。回顾中华人民共和国成立初期医疗机构发展史上曾经出现的波折,有助于加深对当代中国医疗事业历史的理解。

     

    Abstract: Cooperative joint medical institutions played an important complementary role in the early medical system of the People' s Republic of China. The organization of joint medical institutions has achieved the goal of "organizing" social practice doctors and is seen as a "bridge from private medical system to public medical system". With the early completion of the "Three Major Transformations" and the emergence of the peak of socialist construction, the impulse to achieve leapfrog economic and social development also affected the medical and health field. In 1956, a motion was proposed to take over all joint clinics by the state. Following the instructions of central leaders such as Liu Shaoqi, and after research by the health department and various levels of government, the issue of restructuring gradually returned to the original institutional design and the basic national situation of shortage of medical and health resources. The coexistence of public ownership as the main body and various forms of ownership in medical institutions ultimately became a consensus. Reviewing the twists and turns that occurred in the history of medical institutions during the early days of the founding of the People' s Republic of China can help deepen our understanding of the history of contemporary Chinese medical care.

     

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