Mankazana E M
S Afr Med J. 1979 Dec 1;56(23):1003-7.
It is argued that the traditional form of health care delivered by the traditional healers meets some important community-felt needs which modern or Western medicine does not meet. An attempt is made to demonstrate that some shortcomings in the available health care delivery system may be amenable to the use of indigenous healers as health assistants. A plea is made to recognize the 'cultural communication gap' as one of the most important constraining factors in health care delivery, and one which indicates a need for research into the concept of disease and health in both the rural and urban sectors, as well as for epidemiological studies into the determinant factors of disease causation and distribution, with special emphasis on cultural and social factors.
有人认为,传统治疗师提供的传统医疗形式满足了一些社区感受到的重要需求,而现代医学或西医无法满足这些需求。有人试图证明,现有医疗服务体系中的一些缺点可能可以通过使用本土治疗师作为健康助手来改善。有人呼吁认识到“文化沟通差距”是医疗服务中最重要的制约因素之一,这表明需要对农村和城市地区的疾病与健康概念进行研究,以及对疾病因果关系和分布的决定因素进行流行病学研究,特别强调文化和社会因素。