摘要
近些年来,中国的剖腹产率始终居高不下,引起了媒体和学者的持续关注。世界卫生组织的调查报告显示,手术滥用是中国剖腹产问题的独特表现。通过对河北省S县P医院的实地调查,从"局内人"的视角考察中国剖腹产手术滥用的发生机制可以发现:剖腹产手术的滥用不仅与医院追求经济利益、医生规避医疗风险有关,还与产妇的主动要求有关,其根源是市场化改革带来的深刻社会转型以及随之发生的生育医学化。在剖腹产滥用的因果链条中,如果说市场化改革是宏观背景,医患博弈是关键因素,那么,生育医学化则是导致剖腹产滥用的中介变量。
In the past 10 years, high caesarean section rate in China has always been a big topic of media and scholars. China＇s delivery method is characterized by the abuse of Caesarean section, which has been pointed out by a WHO＇s research report. This paper aims to explore its generative mechanism from the perspective of insiders, using the lived interview data. The anthropological fieldwork at a county hospital in north China shows that the abuse of the caesarean section is closely related not only to the hospital in pursuit of economic benefits and the obstetricians trying to avoid medical disputes, but also to the women＇s demand for the procedure. However, the deeper roots are the social transformation and the consequent medicalization of childbirth caused by the market-oriented reform. We concluded that in the complex causal chains, if the market-oriented reform is macro background and physician-patient games are the key factors, then the medicalization of childbirth is an important mediator, finally leading to the abuse of caesarean section.
出处
《社会科学》
CSSCI
北大核心
2014年第12期77-83,共7页
Journal of Social Sciences
关键词
剖腹产滥用
发生机制
市场化改革
生育医学化
Abuse of Caesarean Section, Generative Mechanism, Market-oriented Reform, Medicalization of Childbirth
