关于临床实践、多学科和治疗网的介绍:法国癌症治疗学的重组An Introduction about the Clinical Practice,Multidisdplinary and Treating Nets:Reorganization of the Cancer Therapeutics in France
帕里克·卡斯代尔,赵玥,张黎
摘要(Abstract):
这篇文章主要讨论的是从20世纪90年代初起法国癌症治疗的发展。这种发展主要包括以事实为依据的治疗方针的发展和以扩大治疗选择为目的的多学科、跨组织人员的产生。这些系统工具位于创办不久的医院间肿瘤治疗网的核心地位。可以把这些变迁理解为医疗事业对法国卫生系统的回应,其特点是病人的地位和权利的加强以及公共管理意识的提升。尽管如此,在理解这些变化时,必须考虑到医护人员之间以及林林总总的医疗机构之间错综复杂的竞争关系。这样,我们就可以理解为什么一些医护人员对这些新的组织工具发生兴趣,还可以看出其对癌症治疗组织的影响。
关键词(KeyWords): 临床实践;癌症治疗组织;重组
基金项目(Foundation):
作者(Author): 帕里克·卡斯代尔,赵玥,张黎
参考文献(References):
- ①Epstein S.,Impure Science:Activism,and the Politics of Knowledge.Berkeley:University of California Press,1996.
- ①Scott W.R.,Ruef M.,Mendel P.J.,Caronna C.A.,Institutional change and health care organizations:from professional dominance to managed care.Chicago:Chicago University Press,2000.
- ②Freidson E.,“The reorganization of the medical profession,”Medical Care Review,No.42(1985),pp,11-35.
- ③Pinell P.,The birth of a scourge:the anti-cancer war in France 1890-1940.New York,London: Routledge,2002.
- ①Hafferty F.W.,Light D.W.,“Professional dynamics and the changing nature of medical work,”Journal of Health and Social Behavior,No.35(1995),pp.132-153.
- ②Ritzer G.,Walczak D.,“Rationalization and the deprofessionalization of physicians,”Social forces,No.67 (1988),pp.1-22.
- ③Scott W.R.,Ruef M.,Mendel P.J.,Caronna C.A.,Institutional change and health care organizations: from professional dominance to managed care.Chicago:Chicago University Press,2000.
- ④Hafferty F.W.,McKinlay J.B.(eds.),The Changing Medical Profession:An International Perspective. New York,Oxford:Oxford University Press,1993.
- ①Castel E.,Friedberg E.,“Institutional Change as an Interactive Process.The Modernization of the French Cancer Centers,”Scancor Institutions Conference,Stanford University,March 26 & 27,2004.
- ②Timmermans,S.,Berg,M.,The Gold Standard.Philadelphia,Pa.:Temple University Press,2003.
- ①Ray-Coquard I.,Philip T.,Lehmann M.,et al.,“Impact of a clinical guidelines program for breast and colon cancer in a French cancer center,”JAMA,No.278(1997),pp.1591-1595.
- ②Ray-Coquard I.,Philip T.,de Laroche G.,et al.,“A controlled‘before-after’study:impact of a clinical guidelines programme and regional cancer network organization on medical practice,”British Journal of Cancer, No.86(2002),pp.313-321.
- ③Castel E.,Friedberg E.,“Institutional Change as an Interactive Process.The Modernization of the French Cancer Centers,”Scancor Institutions Conference,Stanford University.March 26 & 27.2004.
- ①Pinell P.,The birth of a scourge:the anti-cancer war in France 1890-1940.New York,London: Routledge,2002.