Colombo Mac Guire G B
Cátedra de Metodología II de Trabajo Social, Buenos Aires, Argentina.
Rev Sanid Hig Publica (Madr). 1993 Nov-Dec;67(6):447-54.
The purpose of this article is to present an alternative medical model to the hegemonic model, from the point of view of gender. Gender is believed as a socio-cultural construction defining men and women ways of behaving in society at a definite historical time. Gender consideration in epidemiologic analysis, together with other social variables, constitutes a new approach in the knowledge of women practices. Gender values are the basis to transform social relations and health care within the health system. The position I show includes a macrosocial level: the State and social politics, and a microsocial level: woman and her connection with the doctor in her daily life scope.
A content analysis of the compiled bibliography was carried out from the point of view of gender. A Primary Health Care Center belonging to a marginal district in the City of Buenos Aires, Argentine was taken as reference.
As result of this study, a woman care typology, emphasizing the differences between an hegemonic medical model and an alternative model, was elaborated. In the same way, concepts, which may be a guide in the construction of an alternative model to the hegemonic one, are handled.
本文旨在从性别角度提出一种与主导模式不同的医学模式。性别被认为是一种社会文化建构,它界定了特定历史时期男性和女性在社会中的行为方式。在流行病学分析中考虑性别因素,连同其他社会变量,构成了认识女性行为的一种新方法。性别价值观是转变卫生系统内社会关系和医疗保健的基础。我所展示的立场包括一个宏观社会层面:国家和社会政策,以及一个微观社会层面:女性及其在日常生活范围内与医生的联系。
从性别角度对汇编的文献进行了内容分析。以阿根廷布宜诺斯艾利斯市一个边缘地区的初级卫生保健中心为参考。
作为本研究的结果,阐述了一种女性护理类型学,强调了主导医学模式与另一种模式之间的差异。同样,还探讨了一些概念,这些概念可能为构建不同于主导模式的替代模式提供指导。