Waterston T, Zwi A
Community Health, Newcastle General Hospital, Newcastle upon, Tyne.
BMJ. 1993 Jul 10;307(6896):110-2. doi: 10.1136/bmj.307.6896.110.
Now that political change is on the way in South Africa, what should be the position of doctors who are invited to visit the country? Does the "academic boycott" still have relevance? Waterston and Zwi review the case for and against an academic boycott policy, using evidence collected during the recent visit by Physicians for Human Rights (UK) and the Johannes Wier Foundation. The health system in South Africa is still inequitable, and despite progress towards desegregation in hospitals there is little momentum towards universal provision of primary health care, especially in the rapidly growing townships around big cities. The authors consider that pressure on the government should be maintained by outside organisations but that support directed towards appropriate health care should be encouraged, particularly in public health and primary health care.
鉴于南非即将发生政治变革，受邀访问该国的医生应持何种立场？“学术抵制”是否仍有现实意义？沃特斯顿和兹维回顾了支持和反对学术抵制政策的理由，他们依据的是人权医生组织（英国）和约翰内斯·维尔基金会近期访问期间收集的证据。南非的医疗体系仍然不公平，尽管医院在废除种族隔离方面取得了进展，但在普及初级卫生保健方面几乎没有进展，尤其是在大城市周边快速发展的城镇地区。作者认为，外部组织应继续向政府施压，但应鼓励对适当的医疗保健提供支持，特别是在公共卫生和初级卫生保健领域。
