Whyte S R
Institute of Anthropology, University of Copenhagen, Denmark.
Cult Med Psychiatry. 1992 Jun;16(2):163-86. doi: 10.1007/BF00117017.
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.
自1971年以来，乌干达政府医疗卫生服务的恶化伴随着私有化进程，这使得药品在生物医学机构之外很容易获得。基于乌干达东部的材料，本文根据医疗保健系统的“部门模式”分析了这一发展，特别关注专业部门和民间部门之间的关系。药物医学的民间从业者包括广泛的专业人员，从私人执业的政府培训的辅助医疗人员到将药品带到当地市场的小贩。与其他民间专业人员一样，他们尊重客户的意见，通过代理提供治疗，并根据客户的支付能力调整服务。尽管这一发展存在消极方面，但从当地的角度来看也有积极的方面，值得卫生规划者考虑。
