van der Geest Sjaak, Finkler Kaja
Medical Anthropology & Sociology Unit, University of Amsterdam, Oudezijds Achterburgwal 185, 1012 DK Amsterdam, The Netherlands.
Soc Sci Med. 2004 Nov;59(10):1995-2001. doi: 10.1016/j.socscimed.2004.03.004.
The introduction sets out two central ideas around which this collection of articles on hospital ethnography has been organised. The first is that hospitals are not identical clones of a global biomedical model. Hospitals take on different forms in different cultures and societies. Medical views and technical facilities may vary considerably leading to different diagnostic and therapeutic traditions. The second idea, related to the first, is that biomedicine and the hospital as its foremost institution is a domain where the core values and beliefs of a culture come into view. Hospitals both reflect and reinforce dominant social and cultural processes of their societies. The authors further discuss some methodological and ethical complexities of doing fieldwork in a hospital setting and present brief summaries of the contributions, which deal with hospitals in Ghana, South Africa, Bangladesh, Mexico, Italy, The Netherlands, Papua New Guinea, Egypt and Lebanon.
引言阐述了两个核心观点,围绕这两个观点组织了这本关于医院民族志的文章集。第一个观点是,医院并非全球生物医学模式的完全复制品。医院在不同文化和社会中呈现出不同的形式。医学观点和技术设施可能有很大差异,导致不同的诊断和治疗传统。第二个与第一个相关的观点是,生物医学以及作为其最重要机构的医院是一个文化的核心价值观和信仰得以显现的领域。医院既反映又强化其所在社会的主导社会和文化进程。作者们进一步讨论了在医院环境中进行实地调查的一些方法和伦理复杂性,并简要概述了这些贡献,这些贡献涉及加纳、南非、孟加拉国、墨西哥、意大利、荷兰、巴布亚新几内亚、埃及和黎巴嫩的医院。