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民族志学与医学:实证主义方法在研究中的效用。

Ethnography and medicine: the utility of positivist methods in research.

机构信息

School of Dentistry and Health Sciences, Faculty of Science, Charles Sturt University, Albury, Australia.

School of Creative Arts & Industries, Canterbury Christ Church University, Canterbury, UK.

出版信息

Anthropol Med. 2022 Sep;29(3):338-344. doi: 10.1080/13648470.2021.1893657. Epub 2021 Sep 15.

Abstract

This commentary discusses the methodological utility of ethnography within the medical space. Whilst a general consensus affirms that ethnography aligns with qualitative approaches, as identified within the existing medical literature, here, we demonstrate how quantitative [positivist] methods can also be incorporated. This paper begins by contextualising ethnographic approaches within medical contexts by demonstrating its empirical value within the existing literature. Next, we discuss the interconnection between the practice of 'doctoring' and ethnographic research, whereby doctors themselves use forms of inductive and deductive reasoning to treat and manage patients in their everyday context. This philosophical discussion not only links to the everyday practice of medical practitioners, but also critically reflects on the role of the first author, as a diagnostic radiographer. Lastly, this paper identifies the virtues of ethnographic research for medical students and/or medical doctors whereby the combination of qualitative and quantitative methods (within an ethnographic methodology) can lead to new empirical and methodological insights, enabling the creation of alternate research strategies and evidence. This methodological strategy may be best considered amongst medical students and/or early career medical researchers, but we also anticipate it to resonate and open further discussion with experienced medical practitioners and researchers transnationally.

摘要

这篇评论讨论了民族志在医学领域中的方法论效用。虽然现有医学文献普遍认为民族志与定性方法一致,但在这里,我们展示了如何纳入定量[实证主义]方法。本文首先通过在医学背景下对民族志方法进行定位,在现有文献中展示其经验价值。接下来,我们讨论了“行医”实践与民族志研究之间的相互联系,即医生本人在日常环境中使用归纳和演绎推理的形式来治疗和管理患者。这种哲学讨论不仅与医疗从业者的日常实践相关,而且还批判性地反思了第一作者作为放射诊断技师的角色。最后,本文确定了民族志研究对医学生和/或医生的价值,即定性和定量方法(在民族志方法中)的结合可以带来新的经验和方法学见解,从而能够制定替代的研究策略和证据。这种方法策略可能在医学生和/或早期职业医学研究人员中最被考虑,但我们也预计它会在国际上引起经验丰富的医疗从业者和研究人员的共鸣,并引发进一步的讨论。

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