Pedersen D, Coloma C
Soc Sci Med. 1983;17(17):1249-55. doi: 10.1016/0277-9536(83)90017-5.
This paper summarizes the main findings of a four village study, carried out during 1979 and 1980 in the highlands and lowlands of northwest Ecuador concerning Western and traditional medicine practices and their relationship with the health status of the people. The methodology used was based on a census and cross-sectional survey on morbidity, mortality and healthy-seeking behaviour; on structured an open-ended interviews with healers, traditional midwives and local medical personnel; and on case studies and follow-ups of individual cases of illness, as defined by the population. Morbidity and mortality data show that the health situation is similar or worse in those villages with local medical services than in those with remote access to hospital facilities. The reported consultation and follow-up of actual cases revealed the existence of complex social networks for disease interpretation and management which combine Western and traditional medicine practices, religious and lay family healing procedures.
本文总结了1979年至1980年期间在厄瓜多尔西北部高地和低地四个村庄开展的一项研究的主要发现，该研究涉及西医和传统医学实践及其与当地居民健康状况的关系。所采用的方法基于对发病率、死亡率和就医行为的普查及横断面调查；对治疗师、传统助产士和当地医务人员进行的结构化及开放式访谈；以及对居民所定义的个别疾病病例的案例研究和随访。发病率和死亡率数据表明，设有当地医疗服务的村庄的健康状况与难以获得医院设施的村庄相似或更差。对实际病例的报告咨询和随访揭示了存在复杂的社会网络用于疾病解读和管理，这些网络结合了西医和传统医学实践、宗教及家庭民间治疗程序。
