PHARMACEUTICALS AS FOLK MEDICINE - TRANSFORMATIONS IN THE SOCIAL-RELATIONS OF HEALTH-CARE IN UGANDA
PHARMACEUTICALS AS FOLK MEDICINE - TRANSFORMATIONS IN THE SOCIAL-RELATIONS OF HEALTH-CARE IN UGANDA
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DOI：
10.1007/bf00117017
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发表时间：
1992-06-01
影响因子：
1.7
通讯作者：
WHYTE, SR
中科院分区：
文献类型：
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作者：
WHYTE, SR
自1971年以来，乌干达政府保健服务的恶化伴随着私有化进程，这使得在生物医学机构之外很容易获得药品。从乌干达东部的材料的基础上，本文分析了这种发展的“部门模式”的医疗保健系统，特别注意专业和民间部门之间的关系。民间医药从业者包括范围广泛的专家，从政府培训的私人执业护理人员到将药品带到当地市场的供应商。像其他民间专家一样，他们尊重客户的意见，通过代理人提供治疗，并根据客户的支付能力调整服务。虽然这一发展有消极的方面，但从地方的角度来看，也有积极的方面，值得卫生规划人员考虑。
The deterioration of government health services in Uganda since 1971 has been accompanied by a process of privatization which has made pharmaceuticals readily available outside of biomedical institutions. On the basis of material from eastern Uganda, the article analyses this development in terms of the 'sector model' of health care systems, with special attention to the relations between the professional and folk sectors. Folk practitioners of pharmaceutical medicine include a broad range of specialists, from government trained paramedicals in private practice to vendors bringing medicine to local markets. Like other folk specialists, they respect the customer's opinion, provide treatment by proxy and adjust their services to the customer's ability to pay. Although there are negative aspects of this development, from the local point of view there are also positive ones, which deserve the consideration of health planners.