传统医学:医学地理议程

Charles M. Good
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引用次数: 31

摘要

在整个非洲、亚洲和拉丁美洲,传统医疗系统共存并与西方科学或“现代”医学相辅相成。至少有23亿人(占世界人口的56%)继续依靠传统医生和治疗技术治疗各种身心疾病。传统医学的持续存在可能在很大程度上归因于其消费者导向和易于获得、可获得、可接受和可靠的声誉。在大多数第三世界国家,现代医疗服务只能覆盖一小部分人口。在可预见的将来,它们很可能继续只提供全部可用保健服务的一小部分。最近,世界卫生组织和一些国家政府、卫生专业人员和社会科学家都开始关注传统医学的巨大人力资源。与传统医生合作或与传统医生结合,可能是扩大现代卫生部门初级保健的一种手段。然而,缺乏信息是评估这些建议在国家卫生目标和卫生规划方面的可行性的最大最初障碍。尽管对传统医疗系统进行了许多复杂的研究,但即使是关于传统医学组织和行为模式的最原始的地理问题也没有被提出。建议医学地理学家认识到传统医学是基础研究和应用研究的一个主要和紧迫的问题领域。解释了地理研究的基本原理,并提出了研究的基本路线。
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Traditional medicine: An agenda for medical geography

Traditional medical systems coexist and complement Western scientific or “modern” medicine throughout Africa, Asia and Latin America. At least 2.3 billion people, or 56% of the world's population, continue to rely upon traditional practitioners and healing techniques for treatment of a wide variety of physical and mental illnesses. The persistence of traditional medicine may be attributed largely to its consumer orientation and reputation for being accessible, available, acceptable, and dependable.

Modern medical services reach only a fraction of the population in most Third World countries. They are likely to continue to provide only a small part of the total available health care for the foreseeable future. Recently, the World Health Organization and some individual governments, health professionals, and social scientist have drawn attention to the vast manpower resources of traditional medicine. Collaboration with or integration of traditional practitioners may be a means of expanding primary care in the modern health sector. Yet lack of information is the greatest initial barrier to assessing the feasibility of such proposals in relationship to national health goals and health planning. Although there are a number of sophisticated studies of traditional medical systems, even the most primitive geographic questions about the organization and behavioral patterns of traditional medicine have not been asked.

It is proposed that medical geographers recognize traditional medicine as a major and immediate problem area for basic and applied research. The rationale for geographic study is explained and essential lines of inquiry are suggested.

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