Adams V
Department of Anthropology, University of California, Berkeley 94720.
Soc Sci Med. 1988;27(5):505-13. doi: 10.1016/0277-9536(88)90374-7.
Since medical ideologies and socio-economic systems are interdependent, anthropologists have described the tendency of people in developing countries to become more committed to Western medicine as they become more involved in capitalist production. This paper examines the interdependence of socio-economic and medical systems by suggesting explanations for the persistent use of traditional medicine by Nepalese Sherpas who are drawn into the world capitalist economy through tourism. The analysis offers insight on the political economy of health in developing societies by addressing the need to scrutinize variations in pre-capitalist social structures, experience of development, and the practices of traditional healers.
由于医学观念与社会经济体系相互依存,人类学家描述了发展中国家的人们随着更多地参与资本主义生产而愈发信奉西医的趋势。本文通过对尼泊尔夏尔巴人持续使用传统医学的现象提出解释,探讨社会经济体系与医疗体系的相互依存关系,这些夏尔巴人通过旅游业融入了世界资本主义经济。该分析通过审视前资本主义社会结构的差异、发展经历以及传统治疗师的行医方式,为发展中社会的健康政治经济学提供了见解。