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| 集体化与合作医疗(1955—1962):卫生政治的话语建构逻辑 |
| Collectivization and the Cooperative Medical System (1955—1962): the Discursive Construction Logic of Health Politics |
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| DOI： |
| 中文关键词: 集体化 合作医疗 卫生政治 话语建构 |
| 英文关键词: Collectivization the Cooperative Medical System Health Politics Discursive Construction |
| 基金项目:本文系教育部人文社科青年项目“话语建构视角下的农村合作医疗政策变迁研究冶 (16YJC810017),以及中央高校基本科研业务费专项 “ 中国农村合作医疗政策过程中的话语建构机制研究冶(201613013)的阶段性成果。 |
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| 中文摘要: |
| 集体化时期(1955—1962 年)农村合作医疗的快速发展是国家动员与推广的结果。 以话语理论为视角进行的考察发现,在“集体化冶话语中,合作医疗所要解决的“问题冶被建构为医疗制度如何“适应农村形势(合作化—公社化)变化冶的问题,合作医疗自身也被建构为“服务于农业生产的需要冶“社会主义/ 共产主义性质的福利事业冶“走向全民免费医疗的过渡形式冶。 伴随着多重意义的生产,在“国家—地方冶互动的话语传播机制下,合作医疗被顺利整合到了国家农村发展战略中,从而为推广合作医疗的政策导向奠定了合法性基础。 这种考察揭示出了“话语建构冶这一重要的社会政治现象,它的本质是一种隐蔽的权力运作形态,也是一种重要的国家治理策略或技术。 |
| 英文摘要: |
| The rapid development of the rural cooperative medical system (CMS) in the period of collectivization (1955—1962) was due to national mobilization and promotion. This paper uses discourse theory as the analytical perspective and found that, in the “collectivization” discourse, the “problem” to be solved by the CMS was constructed as the problem of “adapting to changes of rural situations (cooperation-commune)”, meanwhile, the CMS itself was constructed as “serving the needs of agricultural production”, “ socialism or communist welfare”, “ transitional form to universal free medical care”. With the production of multiple meanings above and the “ state-local” discourse communication mechanisms, the CMS was successfully integrated into the national rural development strategy, which laid the legitimacy foundation for the national cooperative medical policy. This investigation reveals the important social and political phenomenon of “discursive construction”, which is a covert operation of power and an important national governance strategy or technology. |
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