Department of Social Sciences, University of Toronto Scarborough, Toronto, ON M1C 1A4, Canada.
Health Care Anal. 2012 Mar;20(1):31-49. doi: 10.1007/s10728-011-0170-3.
Over the past few years, intercultural health has become an emerging issue in health policy. Intercultural health is an approach in health that aims at reducing the gap between indigenous and western health systems, on the basis of mutual respect and equal recognition of these knowledge systems. This article questions the applicability of such a concept in the context of Chile. Here, conflicting interests between the Mapuche and the Chilean state are related to aspects of economic development, modernity processes, integration, intercultural relations, and indigenous rights and are deeply reflected also in projects for an intercultural health system. By analysing the experience of the intercultural practice of Makewe Hospital, this article argues that effective and equitable intercultural health practices will not take place unless there will be an integral valorisation of the Mapuche culture from a broader perspective.
在过去的几年中，跨文化健康已成为健康政策中的一个新兴问题。跨文化健康是一种健康方法，旨在缩小原住民和西方卫生系统之间的差距，其基础是相互尊重和对这些知识系统的平等承认。本文质疑了这一概念在智利背景下的适用性。在这里，马普切人与智利国家之间的利益冲突与经济发展、现代化进程、一体化、跨文化关系以及原住民权利等方面有关，并且也深刻地反映在跨文化卫生系统项目中。本文通过分析 Makewe 医院的跨文化实践经验，认为除非从更广泛的角度对马普切文化进行全面的重视，否则不会出现有效的和公平的跨文化健康实践。
