醫療實作的社會學：在地醫療──社會想像及實作對批判的啟發

Sociology of Medical Practice: Implications of Situated Medico-social Imaginaries and Practices

社會學的醫療研究取徑曾由「醫療中的社會學」轉向「醫療社會學」，藉此拉出與醫療實務的距離與批判立場。呼應近年學界向在地案例學習的發展，本地社會學如何由在地實作學習呢？本文由推動基層醫療的「醫療―社會想像」與其介入方案，探討各種模式如何啟發批判。藉由實作中浮現的不同「醫療―社會性」，本文提出「醫療實作社會學」，以及其中蘊含的「醫療實作中的社會學」與「為醫療實作的社會學」兩種意涵，並釐清這與現有取徑的異同，希望有助於在地實務與批判。 Sociological studies in the field of medicine have transitioned from a sociology in medicine to a sociology of medicine approach, with the latter distancing itself from medical practicality in the search for a critical standpoint. In light of current case study-based academic initiatives, this paper explores ways to draw on the modes of medico-social imaginaries in the practices of primary care reforms in Taiwan, and to reconnect critical and practical agendas. The author proposes an alternative “sociology of medical practice” approach, and analyzes its implications for sociological studies of medical practices by specifying similarities and differences with previous approaches. The motivation is to offer conclusions that are beneficial for both practitioners and researchers.