摘要
疾病防治知识生产伴随着人类对疾病的风险防控和认知进化,其知识谱系、体系框架和实践应用都得以不断修正和完善,其间存在一个从国家中心主义的疾病阻断到社会参与的知识话语建构及展演过程。区别于国家主义的知识生产模式,疾病防治的社区参与强调关注疾病和行为背后的社会结构性差异及支持体系,并在行为本身医学干预的基础上,寻求超越生物意义的行动者内部的风险解释。但社区参与的知识效用往往体现了一个“知识的地方性”特征。基于这一知识意义观照,在社区结构性差异的基础上,提出城市社区“一体两翼综合防治型模式”、农村社区“精英引导内外联动型模式”、民族社区“族群文化内源型抑制模式”,以求建构一种兼具适切性、可及性、持续性和可嵌入性的社区疾病防治知识生产模式。
With the risk prevention and control of disease and the cognitive evolution of human beings,the knowledge pedigree,system framework and practical application of knowledge production of disease prevention and control have been constantly revised and improved.During this period,there exists a process of response reference and knowledge presentation,such as natural science coping research and development,structural inhibition of social science,disease prevention of national centrism and knowledge discourse construction of social participation,medical intervention of behavior itself and risk interpretation of actors beyond biological significance.Different from the nationalistic knowledge production model,community participation in disease prevention and control emphasizes the attention to the social structural differences,social life practice process and support system behind the disease and behavior.The knowledge utility of community participation often reflects a characteristic of“local knowledge”,so the local knowledge production of disease prevention and control and the standardized reconstruction of knowledge through local regression need special attention.On the basis of the structural differences of communities,this paper puts forward the typology strategies of disease prevention and control in urban,rural and ethnic communities,in order to construct an appropriate,accessible,sustainable and embeddable knowledge production mode of disease prevention and control in communities.
作者
巩海平
高成军
GONG Haiping;GAO Chengjun(Environmental Law College,Gansu University of Political Science and Law,Lanzhou,Gansu 730070;Law School,Gansu University of Political Science and Law,Lanzhou,Gansu 730070;School of Law,Tsinghua University,Beijing 100084,China)
出处
《江西师范大学学报（哲学社会科学版）》
CSSCI
北大核心
2022年第4期58-66,共9页
Journal of Jiangxi Normal University(Philosophy and Social Sciences Edition)
基金
国家社科基金一般项目“社会治理中的多元规范与法秩序统一性研究”(编号:20BFX003)
甘肃政法大学科研资助重大项目“近三十年我国习惯法研究的再研究——一个学术史的考察”(编号:2016XZD13)。
关键词
疾病防治
社区
结构性差异
地方性知识
类型化
prevention and control of disease
communities
structural differences
local knowledge
typology
