Suwankhong Dusanee, Liamputtong Pranee, Rumbold Bruce
School of Public Health, La Trobe University, Bundoora, Australia.
Aust J Prim Health. 2012;18(2):105-11. doi: 10.1071/PY11015.
Although modern health care facilities exist in rural areas, Thai people continue to seek help from traditional healers. This paper explores the perceptions and experiences of patients of traditional healers in southern Thailand. An ethnographic method was used comprising participant observation and in-depth interviews with 23 patients of traditional healers. Fieldwork data showed that patients sought help from traditional healers for both common and emergency illnesses, and for treatment of localised symptoms as well as chronic health conditions. The participants believed that there was no single healing system that could promote total well-being: they looked for the one that could best help them to return to normal health. Individuals expected that any healing form would be complementary or an alternative to another. The findings of this study have implications for the provision of health care to local people. They add weight to arguments that health policymakers could increase choice within the Thai health care system by formally incorporating and promoting the role of traditional healers, recognising them as an important resource in primary health care.
尽管泰国农村地区有现代医疗保健设施,但泰国人仍继续向传统治疗师寻求帮助。本文探讨了泰国南部患者对传统治疗师的看法和经历。采用了人种志方法,包括参与观察和对23位传统治疗师的患者进行深入访谈。实地调查数据表明,患者因常见疾病和急症、局部症状治疗以及慢性健康状况而向传统治疗师寻求帮助。参与者认为,没有单一的治疗体系能够促进全面的健康:他们寻找最能帮助他们恢复正常健康的体系。个人期望任何治疗形式都能与另一种治疗形式互补或相互替代。本研究结果对为当地居民提供医疗保健具有启示意义。这些结果进一步支持了这样的观点,即卫生政策制定者可以通过正式纳入并促进传统治疗师的作用,将他们视为初级卫生保健中的重要资源,从而在泰国医疗保健系统中增加选择。