[Institutionalisation and professionalisation of (occupational) medicine in Germany]. 1998

I Muller, and M Martin

In the first tierce of XIX century the necessity of steps for the health care of working people on the side of medicine and also of the state was perceived. The claims for the producing of the appropriate structural and coneptional conditions led to the creation of work medicine as a sphere, that developed in Germany in relation to political values, social-political programs and medical models. An acknowledgement gained such conception of work medicine and less on the medical work prevention. The notion of work medicine was related with the insurance system from 1883/84 against the unlucky accidents and diseases. The process of institutionalisation and professionalisation of medicine in Germany from the beginning was formed by coexistence of different sociological sciences and mixture of various groups of interest, intending an influence on the form of both processes. This constelation caused a sluggish and slow progress. For example astonishing is the time needed by the work medicine for its stabilisation as a knowledge at the universities. We may go out from presupposition, that the broadening of the industrial production brings chances to this part of medicine having interest in negative consequences of this progress for the human health. However the university teachers regarded the work medicine existed on the edge of medical sciences till the time after the second world war. The progress came thanks to the impulses of single physicians, who beginning in 7-years of the XVIII century published increasing amounts of papers on the work medicine (handicraft and industrial hygiene). Some organizations were created whose interests concerned the work health damaging aspects. A special role had the German Society of Handicraft-Industrial Hygiene, founded in 1922.

UI MeSH Term Description Entries
D009787 Occupational Medicine Medical specialty concerned with the promotion and maintenance of the physical and mental health of employees in occupational settings. Industrial Medicine,Medicine, Industrial,Medicine, Occupational
D005858 Germany A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D017009 Professional Autonomy The quality or state of being independent and self-directing, especially in making decisions, enabling professionals to exercise judgment as they see fit during the performance of their jobs. Self Regulation, Professional,Autonomy, Professional,Professional Self Regulation,Regulation, Professional Self
D049671 History, 18th Century Time period from 1701 through 1800 of the common era. 18th Century History,18th Cent. History (Medicine),18th Cent. History of Medicine,18th Cent. Medicine,Historical Events, 18th Century,History of Medicine, 18th Cent.,History, Eighteenth Century,Medical History, 18th Cent.,Medicine, 18th Cent.,18th Century Histories,Cent. History, 18th (Medicine),Cent. Medicine, 18th,Century Histories, 18th,Century Histories, Eighteenth,Century History, 18th,Century History, Eighteenth,Eighteenth Century Histories,Eighteenth Century History,Histories, 18th Century,Histories, Eighteenth Century,History, 18th Cent. (Medicine)
D049672 History, 19th Century Time period from 1801 through 1900 of the common era. 19th Century History,19th Cent. History (Medicine),19th Cent. History of Medicine,19th Cent. Medicine,Historical Events, 19th Century,History of Medicine, 19th Cent.,History, Nineteenth Century,Medical History, 19th Cent.,Medicine, 19th Cent.,19th Cent. Histories (Medicine),19th Century Histories,Cent. Histories, 19th (Medicine),Cent. History, 19th (Medicine),Century Histories, 19th,Century Histories, Nineteenth,Century History, 19th,Century History, Nineteenth,Histories, 19th Cent. (Medicine),Histories, 19th Century,Histories, Nineteenth Century,History, 19th Cent. (Medicine),Nineteenth Century Histories,Nineteenth Century History
D049673 History, 20th Century Time period from 1901 through 2000 of the common era. 20th Century History,20th Cent. History (Medicine),20th Cent. History of Medicine,20th Cent. Medicine,Historical Events, 20th Century,History of Medicine, 20th Cent.,History, Twentieth Century,Medical History, 20th Cent.,Medicine, 20th Cent.,20th Cent. Histories (Medicine),20th Century Histories,Cent. Histories, 20th (Medicine),Cent. History, 20th (Medicine),Century Histories, 20th,Century Histories, Twentieth,Century History, 20th,Century History, Twentieth,Histories, 20th Cent. (Medicine),Histories, 20th Century,Histories, Twentieth Century,History, 20th Cent. (Medicine),Twentieth Century Histories,Twentieth Century History

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