Stock R
Int J Health Serv. 1985;15(3):469-84. doi: 10.2190/A75B-LQFB-6JHT-03CC.
The persistent underdevelopment of health in the Third World belies the optimism of the "Health care for all by the year 2000" campaign. In order to understand the underdevelopment of health, it is essential to examine the historical evolution of specific health systems. These ideas are developed in a case study of health care in Kano State, Nigeria. The nature and contemporary development of the health care system, which includes state voluntary agency and private sector outlets for Western scientific medicine and a large and varied traditional medicine sector, are examined. Although the deepening health care crisis may potentially spur a reconsideration of priorities and strategies, past experience suggests that a stubborn retention of a pared-down and increasingly unjust version of the present system is more likely.
第三世界国家卫生事业长期发展不足，这与“2000年人人享有卫生保健”运动的乐观预期相悖。为了理解卫生事业发展不足的情况，审视特定卫生系统的历史演变至关重要。这些观点在尼日利亚卡诺州卫生保健的案例研究中得以阐述。该研究考察了卫生保健系统的性质与当代发展情况，其中包括提供西方科学医学服务的国家志愿机构和私营部门机构，以及庞大多样的传统医学部门。尽管日益严重的卫生保健危机可能促使人们重新审视优先事项和战略，但过去的经验表明，更有可能出现的情况是顽固地维持当前体系精简且愈发不公平的版本。
