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'Source force' and the Nepal medical profession.

S J Weiner

    Social Science & Medicine (1982)
    |January 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Indigenous social structures in Nepal influence the allopathic medical profession. A conflict exists between those preserving traditional systems and those advocating for merit-based reforms, highlighting the tension of

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    Area of Science:

    • Sociology of Medicine
    • Medical Professionalism
    • Social Stratification

    Background:

    • Nepalese indigenous social structures significantly impact the organization and functioning of the allopathic medical profession.
    • A division exists within the medical field between socially and politically well-placed doctors and those from less advantaged backgrounds.

    Purpose of the Study:

    • To analyze how Nepalese social structure shapes the allopathic medical profession.
    • To examine the conflict between traditional, kinship-based systems and calls for merit-based reforms.

    Main Methods:

    • Qualitative analysis of social structures within Nepal's medical profession.
    • Case study of a doctor in a remote area (conducted in 1987).

    Main Results:

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    • A tension exists over 'source force' (patrimonialism in bureaucracy), with established doctors favoring traditional systems.
    • Doctors from less advantaged backgrounds advocate for state regulations and merit-based organization.
    • A new medical school initially represented doctors without 'source force', but elite involvement may alter this.

    Conclusions:

    • The Nepalese medical profession's organization is deeply intertwined with its indigenous social structure and concepts of 'source force'.
    • Ongoing conflict reflects a struggle between traditional patronage and modern meritocratic ideals in medical professional governance.