Sheehan Helen E
South Asia Center, University of Pennsylvania, 820 Williams Hall, 36th and Spruce Streets, Philadelphia, PA 19104-6305, USA.
Indian J Med Ethics. 2009 Jul-Sep;6(3):138-41. doi: 10.20529/IJME.2009.045.
The maldistribution of biomedical services creates a dilemma for Indian patients. They encounter a bewildering array of medical services, ranging from qualified traditional medical practitioners to untrained, self-taught purveyors of medicines and cures. Research on Indian healthcare has decried the inefficient distribution of services in rural and urban areas. The studies discussed here reveal the ground reality of the consequences of limited choices for patients, characterised as "forced pluralism," with no state regulation of type of care, quality of care, or credentials of practitioners.
生物医学服务的分布不均给印度患者带来了两难困境。他们面临着一系列令人眼花缭乱的医疗服务，从合格的传统医生到未经培训、自学成才的药品和治疗提供者。对印度医疗保健的研究谴责了农村和城市地区服务分配效率低下的问题。这里讨论的研究揭示了患者选择有限所带来后果的实际情况，这种情况被称为“强制多元化”，即国家对医疗类型、医疗质量或从业者资质没有监管。
