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Q 87 answer

Q87 Answer: (a) Quack practitioners
"Deprofessionalization" of medicine refers to the erosion of the exclusive professional status of doctors - where untrained or unqualified individuals practice medicine. In India, this is most widely seen in the form of quack practitioners (unqualified/unregistered practitioners who practice medicine without formal training or licensure).
  • Quacks represent deprofessionalization because they take over the role traditionally reserved for qualified professionals, undermining the profession's standards, autonomy, and monopoly over medical practice.
  • This is a well-recognized public health and social medicine concept, commonly tested in PSM/Community Medicine exams (Park's Textbook of Preventive and Social Medicine).
The other options refer to different issues:
  • (b) Primary health-care practices - a legitimate system
  • (c) Irrational use of antibiotics - a pharmacological/stewardship issue
  • (d) Nonethical practices by doctors - this would be deprofessional behavior within the profession, not deprofessionalization in the sociological sense
Answer: (a) Quack practitioners
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