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现代还是传统?博茨瓦纳神经精神疾病治疗偏好研究。

Modern or traditional? A study of treatment preference for neuropsychiatric disorders in Botswana.

作者信息

Dale J R, Ben-Tovim D I

出版信息

Br J Psychiatry. 1984 Aug;145:187-92. doi: 10.1192/bjp.145.2.187.

DOI:10.1192/bjp.145.2.187
PMID:6466916
Abstract

Subjects in Botswana were asked to state their preference between modern (doctor or nurse) or indigenous (traditional or religious healer) care for three case vignettes of epilepsy, psychosis, and tuberculosis. Nurses, medical patients, and a general village population were studied. Many subjects preferred modern care for all disorders, whilst a small number favoured indigenous treatment only. A significant percentage discriminated between disorders, choosing indigenous care for some and modern for others. Indigenous care was most favoured for epilepsy, and least for tuberculosis. Psychosis took an intermediate position. The size of the discriminating group varied between populations, but the overall pattern of attitudes remained the same. Neither demographic factors nor aetiological beliefs consistently identified those who choose indigenous care.

摘要

研究人员询问了博茨瓦纳的受试者,让他们针对癫痫、精神病和结核病三个病例 vignettes,在现代医疗(医生或护士)和本土医疗(传统或宗教治疗师)之间表明自己的偏好。研究对象包括护士、就医患者和普通村民。许多受试者对所有疾病都倾向于选择现代医疗,而少数人只青睐本土治疗。相当一部分人对不同疾病区别对待,有些疾病选择本土治疗,有些则选择现代治疗。癫痫最受青睐本土治疗,结核病最不受青睐。精神病处于中间位置。不同人群中区别对待的群体规模有所不同,但总体态度模式保持不变。人口统计学因素和病因学观念都不能始终确定那些选择本土治疗的人。

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