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Article
Publication date: 9 July 2018

Medical pluralism for community health in Thammasen sub-district, Photharam district, Ratchaburi province, Thailand

Wipanun Muangsakul, Sunti Srisuantang and Ravee Sajjasophon

When reviewing Community Health Development, it is necessary to understand the community context, including community health and details of medical pluralism (MP). The…

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Abstract

Purpose

When reviewing Community Health Development, it is necessary to understand the community context, including community health and details of medical pluralism (MP). The purpose of this paper is to correlate and predict between community health and related factors and delineate phenomenon of MP in Thammasen, Ratchaburi province, Thailand.

Design/methodology/approach

A mixed-methods sequential explanatory design was applied in this research. The quantitative survey was conducted by using an interview questionnaire. The 400 respondents were selected by simple random sampling from 11 villages. For the qualitative study, in-depth interviews were conducted with 37 key informants from selected health professionals, folk healers and local leaders.

Findings

The respondents were 56.5 percent female with a mean age of 53.8 years. The factors relating to community health included: health care behaviors, perceived health status, attitudes toward health care and access to health services. Considering the four predictive variables as a group revealed a 26.2 percent variation in community health. The phenomenon of MP was covered by the following three main aspects: self-health care (SHC)—healthy people pay attention to self-care and used herbal remedies to reduce early symptoms; folk medicine (FM)—some folk healers provide holistic healing, use herbal remedies and transfer knowledge to people who are interested and professional medicine (PM)—some health professionals adopt the concept of integrated medicines such as recommending that patients practice SHC and promote the use of Thai traditional medicine (TTM) and complementary and alternative medicine (CAM).

Originality/value

Health professionals, folk healers and local leaders should provide effective action domains that focus on the following four factors of community health: effective health care behavior, concern for health status, positive attitudes toward health care and accessibility to health services. Regarding MP, integrated medical and health care models should be developed to link SHC, FM and PM (including TTM/CAM).

Details

Journal of Health Research, vol. 32 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/JHR-05-2018-032
ISSN: 2586-940X

Keywords

  • Well-being
  • Community health
  • Integrated care
  • Medical pluralism
  • Health factors

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Article
Publication date: 10 June 2014

Social capital among migrating doctors: the “Bridge” over troubled water

Daniel R. Terry and Quynh Lê

The purpose of this paper is to examine the concept of social capital among International Medical Graduates (IMGs). It will specifically examine bridging social capital…

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Abstract

Purpose

The purpose of this paper is to examine the concept of social capital among International Medical Graduates (IMGs). It will specifically examine bridging social capital and greater intercultural communication which provides IMGs access to the wider community and plays a key role in cross-cultural adaptation and acculturation.

Design/methodology/approach

A review of the literature.

Findings

An Australian wide shortage of doctors has led to an increased reliance on the recruitment of IMGs. As IMGs migrate, they may encounter different meanings of illness, models of care and a number of social challenges. Nevertheless, greater cross-cultural adaptation and acculturation occurs through bridging social capital, where intercultural communication, new social networks and identity aids integration. This process produces more opportunities for economic capital growth and upward mobility than bonding social capital.

Practical implications

Concerns regarding immigration, appropriate support and on-going examination processes have been expressed by IMGs in a number of studies and policy papers. However, there is very little insight into what contributes cross-cultural adaptation of IMGs.

Originality/value

As IMGs migrate to not only a new country, but also a new health system and workplace they arrive with different cultural meanings of illness and models of care. These differences may be in contrast to the dominant western medical model, but often bring positive contributions to patient care in the new environment. In addition, improving bridging social capital provides IMGs access to the wider community and has been demonstrated to play a key role in cross-cultural adaptation and ultimately acculturation.

Details

Journal of Health Organization and Management, vol. 28 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/JHOM-09-2012-0178
ISSN: 1477-7266

Keywords

  • Australia
  • Personal health
  • Empowerment
  • Ethnic minorities
  • Doctors
  • Medical professions

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Book part
Publication date: 12 February 2013

Hybrid Habitus: Toward a Post-Colonial Theory of Practice

Claire Laurier Decoteau

Sociologists have tended to construct theories of identity based on unitary notions of social location which avoid conceptualizing disjunction and contradiction and which…

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Abstract

Sociologists have tended to construct theories of identity based on unitary notions of social location which avoid conceptualizing disjunction and contradiction and which therefore fail to capture certain characteristics of the postcolonial condition. This paper engages in a postcolonial re-reading of sociological theories of practice (in particular, Pierre Bourdieu's notion of habitus). It does so through an analysis of the historical development of the field of health and healing in South Africa. From the beginning of the colonial enterprise, biomedicine resisted amalgamation with other forms of healing and insisted on a monotherapeutic ideology and practice whereas indigenous healing accommodated not only biomedicine, but invited pluralism within and across cultural and ethnic differences. As such, a bifurcated and parallel system of healing emerged, whereby Black South Africans practiced pluralism and white South Africans utilized biomedicine in isolation. This disjuncture became acrimonious in the post-apartheid era as the state attempted to forge a united health system and battle the AIDS epidemic. Despite the historical and contemporary bifurcations within the field of health and healing, people living with AIDS continue to subscribe to a hybrid health ideology. There is, therefore, a structural disjuncture between the realities of consumption within the field of health and healing and the logic of the field as it is articulated in the symbolic struggle raging in the field of power. The field of health and healing is characterized, therefore, by a simultaneous bifurcation and hybridity – which is reflected in HIV-infected South Africans’ beliefs and practices. In order to make sense of this puzzling disjuncture and its impact on subjects’ trajectories of action, this paper draws insight from Pierre Bourdieu's theory of habitus and Homi Bhabha's conceptualization of hybridity – transforming each of them through their synthesis and application to the postcolonial context.

Details

Postcolonial Sociology
Type: Book
DOI: https://doi.org/10.1108/S0198-8719(2013)0000024016
ISBN: 978-1-78190-603-3

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Book part
Publication date: 8 December 2007

The Economies of Health in Western Buddhism: A Case Study of a Tibetan Buddhist Group in France

Lionel Obadia

Based on ethnographic data and a textual analysis, this chapter highlights the process of “therapization” of Buddhism in Western countries, with a specific emphasis on…

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Based on ethnographic data and a textual analysis, this chapter highlights the process of “therapization” of Buddhism in Western countries, with a specific emphasis on Tibetan Buddhism in France. Referring to the paradigm of “political economy of health”, as developed in recent medical anthropology, it attempts to explore the relationships between two concepts – economics and health – that had previously been considered separately, in the context of Western Buddhism. Further, this chapter's aim is to expose a potential application of theoretical economic models in an anthropological approach of Buddhist diffusion and appropriation in the West.

Details

The Economics of Health and Wellness: Anthropological Perspectives
Type: Book
DOI: https://doi.org/10.1016/S0190-1281(07)26010-X
ISBN: 978-1-84950-490-4

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Book part
Publication date: 29 July 2009

Social sources of disparities in use of complementary and alternative medicine

Jennie Jacobs Kronenfeld and Stephanie L. Ayers

Complementary and alternative medicine (CAM) as a topic of research and as an approach within the health care delivery system has become increasingly accepted. Aided by…

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Complementary and alternative medicine (CAM) as a topic of research and as an approach within the health care delivery system has become increasingly accepted. Aided by the holistic movement, and after a century and a half of striving for legitimacy, CAM is also increasingly becoming more accepted by mainstream medicine. This chapter reviews the social sources of disparities in use of CAM, with a greater focus on English-speaking countries, and especially the US. This chapter will briefly highlight the basic underlying principles of CAM as linked to its history and discuss types of CAM. The major focus of this chapter will be a review of the literature on social factors and use of CAM, looking at such factors as age, gender, socioeconomic status, race/ethnicity and immigration status, and health status. As part of this, we will also discuss the integration of CAM and conventional care. In conclusion, future directions for social science research in CAM will be discussed, specifically elaborating on the importance of the social sciences linking CAM with other growing interests in health and wellness.

Details

Social Sources of Disparities in Health and Health Care and Linkages to Policy, Population Concerns and Providers of Care
Type: Book
DOI: https://doi.org/10.1108/S0275-4959(2009)0000027007
ISBN: 978-1-84855-835-9

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Article
Publication date: 30 September 2014

An inquiry into different perspectives of health and illness: is the reconciliation possible?

Khan Ferdousour Rahman and Haya M. Al-Khatlan

– The purpose of this paper is to review different perspectives of health and illness keeping the human being at the center.

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Abstract

Purpose

The purpose of this paper is to review different perspectives of health and illness keeping the human being at the center.

Design/methodology/approach

This paper has been written based on the review of secondary literature.

Findings

The analysis indicates that the appropriate perspective to use depends on normative considerations and the particular policy context to which it will be applied.

Research limitations/implications

The main limitation was time and resources, which were overcome by meticulous analysis of secondary data and also through comparison of the results by achieving triangulation.

Practical implications

The paper analyzed different perspectives of health and illness in order to increase the insight to the phenomena of health and illness; and also to reach a decision whether consensus among the perspectives is possible or otherwise.

Originality/value

After analyzing the existing perspectives of health and illness, this paper proposes that an appropriate approach is needed to reconcile different perspectives for sustainable use.

Details

Clinical Governance: An International Journal, vol. 19 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/CGIJ-07-2014-0021
ISSN: 1477-7274

Keywords

  • People
  • Health policy
  • Policy
  • Information
  • Governance
  • Health
  • Governance structures
  • Illness
  • Perspective

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Book part
Publication date: 1 October 2013

Introduction

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Ecological Health: Society, Ecology and Health
Type: Book
DOI: https://doi.org/10.1108/S1057-6290(2013)0000015003
ISBN: 978-1-78190-323-0

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Article
Publication date: 16 October 2017

The Bloomsbury Companion to Contemporary Philosophy of Medicine

Stuart Hannabuss

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Details

Reference Reviews, vol. 31 no. 8
Type: Research Article
DOI: https://doi.org/10.1108/RR-06-2017-0139
ISSN: 0950-4125

Keywords

  • Philosophy
  • Twenty-first century
  • Health and medicine

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Book part
Publication date: 13 November 2015

Examining Women’s Health Issues among Quechua Speakers in Peru

Jennifer Tram Nguyen

Dramatic urbanization in Latin America is causing an increasing proportion of indigenous groups to migrate from rural areas to urban centers. In Peru, this population is…

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Dramatic urbanization in Latin America is causing an increasing proportion of indigenous groups to migrate from rural areas to urban centers. In Peru, this population is primarily comprised of the Quechua-speaking Indians. The cultural marginalization of Quechua in urban areas has left these communities with limited access to basic services such as health care. Quechua women are disproportionately affected by adverse health outcomes due to their economic dependency on their husbands and lack of Spanish language knowledge. In order to investigate this topic, I brought together information from multiple disciplines, consulting government data, ethnographic studies and social research, and studies conducted on health outcomes. It becomes apparent from this information that Quechua women suffer from high incidences of adolescent pregnancies, unsafe abortions, and domestic violence. These health issues are linked to their traditional beliefs and practices and their economic condition. In order to properly address this issue, it is imperative to increase Quechua translators in medical facilities, allow for greater access to sexual education and contraceptives, and to provide culturally competent care that incorporates both traditional and Western practices.

Details

Enabling Gender Equality: Future Generations of the Global World
Type: Book
DOI: https://doi.org/10.1108/S0895-993520150000023010
ISBN: 978-1-78560-567-3

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Book part
Publication date: 8 December 2007

The Power of Culture in Selecting Health Care Providers in Rural Bangladesh: An Ethno Scientific Analysis

Azizur R. Molla

This study examines the decision process of household members in visiting local health care providers. It also explores the effect of various household level socioeconomic…

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This study examines the decision process of household members in visiting local health care providers. It also explores the effect of various household level socioeconomic factors on motivating rural people to visit traditional versus modern health care providers in rural Bangladesh. I used the Population, Environment, and Poverty data collected from eight villages of rural Bangladesh in 1998 in addition to self-collected ethnographic survey information. The data suggest that a large majority of rural households attempt to visit locally available untrained health care providers first, and then trained doctors as the sickness worsens. The data also suggest that socio-cultural and economic factors are important in shaping their decision to visit traditional as opposed to modern health care providers. Training the traditional and untrained health care providers will be a wise option to ensure health care to the villagers.

Details

The Economics of Health and Wellness: Anthropological Perspectives
Type: Book
DOI: https://doi.org/10.1016/S0190-1281(07)26002-0
ISBN: 978-1-84950-490-4

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