Mackian Sara, Bedri Nafisa, Lovel Hermione
School of Geography, University of Manchester, UK.
Health Policy Plan. 2004 May;19(3):137-46. doi: 10.1093/heapol/czh017.
The concept of health-seeking behaviour continues to permeate the development literature, and this paper reviews the main approaches. However, it also suggests that health-seeking behaviour is a somewhat over-utilized and under-theorized tool. Although it remains a valid tool for rapid appraisal of a particular issue at a particular time, it is of little use as it stands to explore the wider relationship between populations and health systems development. If we wish to move the debate into new and more fruitful arenas, we need to develop a tool for understanding how populations engage with health systems, rather than using health-seeking behaviour as a tool for describing how individuals engage with services. The paper suggests one way in which we might start to frame the debate, using reflexive communities and social capital as key theoretical and analytical concepts.
寻求健康行为的概念持续贯穿于发展文献中，本文回顾了主要方法。然而，本文也指出，寻求健康行为是一个在一定程度上被过度使用且理论不足的工具。尽管它仍是在特定时间快速评估特定问题的有效工具，但就其现状而言，对于探究人群与卫生系统发展之间更广泛的关系几乎没有用处。如果我们希望将这场辩论引入新的、更富有成效的领域，我们需要开发一种工具来理解人群如何与卫生系统互动，而不是将寻求健康行为作为描述个体如何与服务互动的工具。本文提出了一种我们可以开始构建这场辩论的方式，即将反思性社区和社会资本作为关键的理论和分析概念。
