从土著研究范式看保健权:智利塔拉帕ac地区艾马拉族瓦米人权利受到侵犯。

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health and Human Rights Pub Date : 2023-06-01
Adimelia Moscoso, Carlos Piñones-Rivera, Rodrigo Arancibia, Bárbara Quenaya
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引用次数: 0

摘要

本文从土著研究范式对保健权进行了反思。我们分析了一名Aymara wise warmi(妇女)在智利卫生保健系统未能提供文化上适当的护理后死亡的案例。在她死后,我们合作社发起了一个跨学科的合作研究项目,试图对治疗她的家庭保健中心提出行政申诉。我们探讨了围绕她的治疗和死亡的事件,以及机构的书面回应。我们的工作阐明了机构和土著居民对什么构成侵犯保健权的看法之间存在的重大差异。我们证明,为了确定这种侵犯行为的存在,艾马拉人民被迫使用与他们的本体论不一致的自然主义科学和法律框架来发展证据。因此,一些事件和侵犯行为在法律上不被认为是文化上不适当的保健,除非从土著视角来看待。最后,我们反思证据的产生问题,特别是关于保健权的问题。我们认为,争取保健权的斗争可以从土著研究范式中受益——不仅有利于土著人民,而且还可以为所有人提供文化上适当的保健。
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The Right to Health Care Viewed from the Indigenous Research Paradigm: Violations of the Rights of an Aymara Warmi in Chile's Tarapacá Region.

This paper reflects on the right to health care from the Indigenous research paradigm. We analyze the case of an Aymara wise warmi (woman) who died after the Chilean health care system failed to provide culturally appropriate care. In the wake of her death, our cooperative launched an interdisciplinary and collaborative research project in an effort to file an administrative complaint against the family health center that treated her. We explore the events surrounding her treatment and death, as well as the institutional written response. Our work elucidates the significant differences that exist between institutional and Indigenous perspectives on what constitutes a violation of the right to health care. We demonstrate that in order to establish the existence of such violations, Aymara people are compelled to develop evidence using a naturalistic scientific and legal framework that does not coincide with their ontology. Consequently, some events and violations are not legally recognized as culturally inappropriate health care unless they are viewed through an Indigenous lens. Finally, we reflect on the problem of evidence production, specifically regarding the right to health care. We argue that the fight for the right to health care can benefit from the Indigenous research paradigm-not only for the benefit of Indigenous people but also to provide culturally appropriate care to all people.

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来源期刊
Health and Human Rights
Health and Human Rights PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.50
自引率
5.40%
发文量
22
审稿时长
24 weeks
期刊介绍: Health and Human Rights began publication in 1994 under the editorship of Jonathan Mann, who was succeeded in 1997 by Sofia Gruskin. Paul Farmer, co-founder of Partners In Health, assumed the editorship in 2007. After more than a decade as a leading forum of debate on global health and rights concerns, Health and Human Rights made a significant new transition to an online, open access publication with Volume 10, Issue Number 1, in the summer of 2008. While continuing the journal’s print-only tradition of critical scholarship, Health and Human Rights, now available as both print and online text, provides an inclusive forum for action-oriented dialogue among human rights practitioners.
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