摘要
就医行为不仅能够反映出特定地方疾病诊治与文化传统的密切相关性,同时也能反映出引导和制约人们行动展开的社会制度和知识建构问题。本文通过对滇西北D县"小孩夜哭"个案考察发现:由于知识离散不整,人们在就医过程中的行动往往呈现出一种模糊化的状态,进而表现出一种非此即彼的实用主义倾向。这种实用主义倾向除了根源于个人习性和传统的影响外,在很大程度上还根源于制度供给的不平衡以及知识建构的缺位。研究表明:理性就医行为的形成需要从结构和行动两个维度入手,既要重视政府和监管者的理性制度建构,同时也需要通过良好的制度引导,使人们在自主的就医行为中不断接近实效,同时能够充分享有公共服务政策的反射利益。
Not only the health seeking behavior reflects the relationship between local diagnosis of ill- ness and cultural traditions, but also reflects the social system and knowledge establishment that can pro- vide guidance and restriction to actions of the public. Based on the study of the case ＇ child＇s crying at night＇ in D county, Northwest Yunnan, this paper shows that actions of the public are usually not rational, and that it even expresses as a pragmatic tendency of black or white due to the absence of proper guidance. In addition to personal habits and influence of traditions, the unbalanced system supply and the absence of knowledge establishment contribute to the creation of this pragmatic tendency in a large part. The author ar- gues that the formation of rational health seeking behavior need to start from the two dimensions of structure and action. Government and regulators ance to the public in medication. need to improve the existing system so as to provide adequate guid-
出处
《广西民族研究》
CSSCI
北大核心
2014年第1期37-45,共9页
GUANGXI ETHNIC STUDIES
基金
云南省教育厅科学研究基金重点资助项目"法治框架下边疆治理模式创新的理论与实践研究"(2013Z061)
关键词
医学人类学
公共服务
制度
结构
行动
medical anthropology, public service, system, structure, action
