Finerman R D
Soc Sci Med. 1984;18(4):329-34. doi: 10.1016/0277-9536(84)90122-9.
Saraguro Indians in Ecuador employ optimizing techniques to select from several available health care resources. Ideational needs, rather than physical access, appear to impose the greatest influence on therapeutic choice. The influence of felt needs on health care is particularly apparent at birth and death. The community's new hospital provided free health care, but doctors failed to consider indigenous attitudes toward birth and death. The ideational cost of hospital care has made it an unacceptable alternative for residents.
厄瓜多尔的萨拉古罗印第安人运用优化技术从几种可用的医疗资源中进行选择。观念需求而非实际可及性似乎对治疗选择产生了最大影响。感知需求对医疗保健的影响在出生和死亡时尤为明显。社区的新医院提供免费医疗服务，但医生没有考虑到当地人对出生和死亡的态度。医院护理的观念成本使其成为居民难以接受的选择。
