Anthropological and socio-medical health care research in developing countries
Identifieur interne : 001493 ( Main/Exploration ); précédent : 001492; suivant : 001494Anthropological and socio-medical health care research in developing countries
Auteurs : Axel Kroeger [Allemagne]Source :
- Social Science & Medicine [ 0277-9536 ] ; 1983.
English descriptors
- Teeft :
- Accessibility, Admirality islands, Aetiological concepts, Allopathic practitioners, Anthropological, Anthropological literature, Antropologia para, Asel kroeger, Axel kroeger, Bangladesh, Behaviour, California press, Care research, Child health, Chronic diseases, Communication barriers, Conceptual framework, Cultural change, Cultural identity change, Determinant, Different disease categories, Different forms, Different kinds, Different sources, Different systems, Different types, Disease classification, Doctor shopping, Dominant factor, Ecuador, Empirical data, Epidemiological, Explanatory variables, Folk diseases, Formal education, Geographical accessibility, Healer, Healer shopping, Health behaviour, Health care, Health care facilities, Health care research, Health interview surveys, Health planners, Health planning, Health posts, Health practitioners, Health services, High costs, High degree, Identity change, Illness behaviour, Illness survey, Important ones, Indian town, Industrial countries, Ivory coast, Johns hopkins press, Kenya, Kleinman, Kroeger, Large body, Malaysia, Many others, Medical anthropology, Medical care, Medical pluralism, Methodological problems, Mexican village, Modern facilities, Modern health care, Modern health facilities, Modern health services, Modern medicine, Modern services, Modern system, Morbidity, Morbidity data, Mutual understanding, Nigeria, Observational studies, Oxford university press, Particular health service, Particular settings, Peasant societies, Poor quality, Practitioner, Primary care, Public health, Puerto ricans, Punjab villages, Rural africa, Rural area, Rural areas, Rural bangladesh, Rural ecuador, Rural ethiopia, Rural ghana, Rural guatemala, Rural india, Rural korea, Rural malaysia, Rural mexico, Rural nigeria, Rural societies, Rural tanzania, Russel sage foundation, Sample size, Self treatment, Severe diseases, Sick role, Social bonds, Social factors, Social network, Study population, Symptom, Symptom iceberg, Third world countries, Tracer conditions, Traditional healers, Traditional healing, Traditional medicine, Traditional practitioners, Traditional treatments, Transitional societies, Travel distance, Weeks people, Western medicine, Wide range.
Abstract
Research on health-seeking behaviour in developing countries is of both theoretical and practical relevance. It analyzes concepts of origin and management of illness, provides insights into people's use or non-use of traditional and/or modern health services available and finally it contributes to reveal perceptions regarding health care in particular settings. The paper first describes briefly the methodologies commonly used for analyzing the determinants and the pathways in the use of care. Then the extensive literature on health-seeking behaviour in developing countries is reviewed within an open-ended classification framework. The review shows a polarity between two major approaches, socio-medical and anthropological. The former emphasizes services factors such as accessibility, costs, acceptability, whereas the latter focuses primarily on aetiological concepts and world views. The main point of this review is to show that a combination of those two approaches is highly desirable: the different methods currently available should be combined in order to consider all the factors intervening in the use of health care. Fallacies in the quantitative analysis of medical pluralism and in the investigation of self-care are pointed out and some solutions offered. It is concluded that epidemiological and anthropological approaches should concentrate more intensively in order to contribute to the necessary improvement of adequate and environmentally adapted health services in developing countries.
Url:
DOI: 10.1016/0277-9536(83)90248-4
Affiliations:
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It analyzes concepts of origin and management of illness, provides insights into people's use or non-use of traditional and/or modern health services available and finally it contributes to reveal perceptions regarding health care in particular settings. The paper first describes briefly the methodologies commonly used for analyzing the determinants and the pathways in the use of care. Then the extensive literature on health-seeking behaviour in developing countries is reviewed within an open-ended classification framework. The review shows a polarity between two major approaches, socio-medical and anthropological. The former emphasizes services factors such as accessibility, costs, acceptability, whereas the latter focuses primarily on aetiological concepts and world views. The main point of this review is to show that a combination of those two approaches is highly desirable: the different methods currently available should be combined in order to consider all the factors intervening in the use of health care. Fallacies in the quantitative analysis of medical pluralism and in the investigation of self-care are pointed out and some solutions offered. It is concluded that epidemiological and anthropological approaches should concentrate more intensively in order to contribute to the necessary improvement of adequate and environmentally adapted health services in developing countries.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li></region><settlement><li>Heidelberg</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Kroeger, Axel" sort="Kroeger, Axel" uniqKey="Kroeger A" first="Axel" last="Kroeger">Axel Kroeger</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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