Marian Florica
Institute for Complementary Medicine KIKOM, University of Bern, Switzerland.
Forsch Komplementmed. 2007 Dec;14 Suppl 2:10-8. doi: 10.1159/000112319. Epub 2008 Jan 7.
Over the last decades, awareness has increased about the phenomenon of medical pluralism and the importance to integrate biomedicine and other forms of health care. The broad variety of healing cultures existing alongside biomedicine is called complementary or alternative medicine (CAM) in industrialized countries and traditional medicine (TM) in developing countries. Considerable debate has arisen about ethical problems related to the growing use of CAM in industrialized countries. This article focuses on equity issues and aims to consider them from a global perspective of medical pluralism. Several dimensions of equity are explored and their interrelatedness discussed: access to care, research (paradigm and founding) and recognition. This so-called 'equity circle' is then related to Iris Marion Young's justice theory and particularly to the concepts of cultural imperialism, powerlessness and marginalisation.
在过去几十年里，人们对医学多元主义现象以及整合生物医学与其他形式医疗保健的重要性的认识有所提高。在工业化国家，与生物医学并存的各种各样的治疗文化被称为补充或替代医学（CAM），而在发展中国家则被称为传统医学（TM）。关于工业化国家中补充或替代医学使用日益增加所涉及的伦理问题，已经引发了相当多的争论。本文关注公平问题，并旨在从医学多元主义的全球视角来考量这些问题。探讨了公平的几个维度，并讨论了它们之间的相互关系：获得医疗服务、研究（范式与基础）以及认可。然后，这个所谓的“公平圈”与艾里斯·玛丽昂·扬的正义理论相关，特别是与文化帝国主义、无力感和边缘化等概念相关。
