台灣醫療社會的文明化歷程：一種“醫政關係”的統合主義分析

Civilizing Process of Medical Society in Taiwan: A Corporatist Analysis on medical-political Relationship

葉永文(Yun-Wen Yeh)

《台灣醫學人文學刊》 7卷1&2期 (2006/06) Pp. 113-131

https://doi.org/10.30097/FJMH.200606.0009

摘要

一般來說，國家與社會的關係皆涉及統治的議題，當然就醫政關係來說，國家統治亦是一個重要的切入面向，諸如國家對醫療論述的主導、對醫療政策的介入，或甚至對醫療實踐的權力展現等等均是。戰後台灣的醫政關係，在威權體制下係有政治支配醫療的特殊呈現，而解嚴後伴隨民主化社會的開啟，醫療對政治介入已然存有抗拮的空間。本文即是以「統合主義」為研究方法，試圖去探索解嚴前後台灣醫政關係的發展過程，包括戒嚴時期台灣醫療體制的建制、發展與困境，以及解嚴後台灣醫療體制的螁變、整合與衝突。

關鍵字

醫政關係 ； 醫療政策 ； 威權體制 ； 政治民主 ； 統合主義

並列摘要

Generally speaking, the relationship between a country and a society involves the issue of government. Therefore, the relationship between the politic and medical situations of a country certainly concerns various issues of country government, such as the leading role of the nation in the health care, its intervention in medical polices, and even the realization of its power over the medical care system. In Taiwan after the Word War Ⅱ, the political power appeared to control the health system under the Martial Law period. Afterwards, along with the democratic development, the medical care has had the resistant strength against the political power. The present study aims to investigate the development of the political and medical relationship in Taiwan at the Martial Law period and after that period by research method of ”corporatism”, including the aspects of the establishment of the health care system during the period, its evolution, developmental dilemma, the change of the system post-the Martial Law period, its integration and the conflict with the political power and so on.

並列關鍵字

relation between the medical and politics ； medical policy ； authoritarian system ； political democracy ； corporatism