URBAN HEALTH AND PHARMACEUTICAL CONSUMPTION IN DELHI, INDIA
URBAN HEALTH AND PHARMACEUTICAL CONSUMPTION IN DELHI, INDIA
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印度德里的城市健康和药品消费
DOI：
10.1017/s002193200500091x
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发表时间：
2005
影响因子：
1.5
通讯作者：
R. Das
中科院分区：
文献类型：
--
作者：
V. Das;R. Das
本文对生物医学和人类学话语中“自我用药”等术语的常规和毫无问题的用法进行了探讨。一个典型的社会因素，解释了在印度实行“自我用药”的做法，是把供应方面的因素(如政府为仿制药生产提供的保护，特别是小规模部门的保护，以及药店网点数量的扩大)与对抗药需求的增加放在一起。这篇论文对德里城市社区的家庭和生物医学从业者之间的错综复杂的联系进行了民族志描述。它打破了医生的做法和患者的信念之间的传统对立，并表明构成这些社区的医疗环境的是医疗做法、家庭经济和疾病概念的产物。因此，药物的使用既取决于家庭对正常和病理的理解，也取决于配药的做法和从业者如何理解什么是治疗。本文采用定量数据和叙述性访谈相结合的方法，深入了解城市贫民生活世界中药品的流通情况。
This paper interrogates the routine and unproblematic use of terms such as ‘self-medication’ in biomedical and anthropological discourse. A typical depiction of the social factors that explain the practice of ‘self-medication’ in India is to put together the supply side factors (such as protection offered by the government for the production of generic drugs, especially in the small scale sector, and expansion of the number of drug store outlets), with the increasing demand for allopathic drugs. The paper provides an ethnographic account of the intricate connections between households and biomedical practitioners in urban neighbourhoods in Delhi. It breaks away from the conventional opposition drawn between the practices of physicians and the beliefs of their patients, and suggests that what constitutes the medical environments of these neighbourhoods is the product of medical practices, household economies and concepts of disease. Thus pharmaceutical use is determined as much by practices of dispensation and by how practitioners understand what constitutes therapy as by household understanding of the normal and the pathological. This paper uses both quantitative data and narrative interviews to provide an in-depth understanding of the circulation of pharmaceuticals within the life worlds of the urban poor.