Parallel structures in professional and folk health care: A model applied to rural Hati
- Jeannine Coreil
- … show all 1 hide
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
The paper argues that professional and folk sectors of pluralistic health care systems share certain structural features that in some respects have equal or greater importance than obvious differences. A model based on the concepts of primary, secondary and tertiary care is adapted to an analysis of both folk and professional domains of the rural Haitian health care system. Ethnographic and survey data are presented to support the position that underlying similarities are evident in patterns of cost, accessibility, specialization, recruitment and training of practitioners in both health sectors. The level of care model provides an analytic framework which gives proper attention to diversity in traditional healing, which is applicable to other health care systems, and which has relevance for the development of primary care resources in developing areas.
- Alland, A. 1970 Adaptation in Cultural Evolution: An Approach to Medical Anthropology. New York: Columbia University Press.
- Bordes, A. 1973 Communication orale du Dr. Ary Bordes, Chef de la Division d'Hygiene Familiale. In La Participation Chrétienne au Developement en Haiti. Port-au-Prince: Castel Haiti, pp. 207–218.
- Bichmann, W. 1979 Primary Health Care and Traditional Medicine - Considering the Background of Changing Health Care Concepts in Africa. Social Science and Medicine 13B: 175–182.
- Coreil, J. 1980 Traditional and Western Responses to an Anthrax Epidemic in Rural Haiti. Medical Anthropology 4(1): 79–105.
- Dunn, F. 1976 Traditional Asian Medicine and Cosmopolitan Medicine as Adaptive Systems. In Asian Medical Systems, C. Leslie (ed.), Berkeley: University of California Press, pp. 133–158.
- Fabrega, H. and P. K. Manning 1979 Illness Episodes, Illness Severity and Treatment Options in a Pluralistic Setting. Social Science and Medicine 13B: 41–51.
- Foster, G. M. 1976 Disease Etiologies in Non-Western Medical Systems. American Anthropologist 78: 773–782.
- Foster, G. M. 1978 The Role of Medical Anthropology in Primary Health Care. Bulletin of the Pan American Health Organization 12(4): 335–340.
- Foster, G. and B. G. Anderson, (eds.) 1978 Medical Anthropology. New York: Wiley.
- Friedson, E. 1970 Profession of Medicine: A Study of the Sociology of Applied Knowledge. New York: Harper and Row.
- Greenwood, B. 1981 Cold or spirits? Choice and Ambiguity in Morocco's Pluralistic Medical System. Social Science and Medicine 15B: 219–235.
- Janzen, J. 1978 The Comparative Study of Medical Systems as Changing Social Systems. Social Science and Medicine 12(2B): 121–130.
- Janzen, J. M. 1978 The Quest for Therapy in Lower Zaire. Berkeley: University of California Press.
- Kennedy, D. M. 1973 Perceptions of Illness and Healing Social Science and Medicine 7: 787–805.
- Kleinman, A. 1978 Concepts and a Model for the Comparison of Medical Systems as Cultural Systems. Social Science and Medicine 12: 85–93.
- Kleinman, A. 1980 Patients and Healers in the Context of Culture. Berkeley: University of California Press.
- Kunstadter, P. 1976 The Comparative Anthropological Study of Medical Systems and Society. In Medicine in Chinese Cultures: Comparative Studies of Health Care in Chinese and Other Societies. A. Kleinman et al., (eds.), Washington, D.C.: U.S. Government Printing Office, pp. 683–696.
- Landy, D. 1974 Role Adaptation: Traditional Curers Under the Impact of Western Medicine. American Ethnologist 1: 103–127.
- Lee, R.P. 1981 Chinese and Western Medical Care in China's Rural Commune: A Case Study. Social Science and Medicine 15A: 137–148.
- Leslie, C. 1976 The Ambiguities of Medical Revivalism in Modern India. In Asian Medical Systems, C. Leslie (ed.), Berkeley: University of California Press, pp. 356–367.
- Leslie, C. 1980 Medical Pluralism in World Perspective. Social Science and Medicine 14B: 191–195.
- Maclean, U. and R. H. Bannerman (eds.) 1982 Special Issue on the Utilization of Indigenous Healers in National Health Delivery Systems. Social Science and Medicine 16: 1815–1816.
- Maguire, R. 1982 Personal communication.
- Neumann, A. K. and P. Lauro 1982 Ethnomedicine and Biomedicine Linking. Social Science and Medicine 16: 1817–1824.
- Nichter, M. 1978 Patterns of Resort in the Use of Therapy Systems and Their Significance for Health Planning in South Asia. Medical Anthropology 2(2): 29–58.
- Polgar, S. 1963 Health Action in Cross-cultural Perspective. In Handbook of Medical Sociology. H. Freeman, S. Levine and L. G. Reeder (eds.), Englewood Cliffs: Prentice-Hall, pp. 379–419.
- Pillsbury, B. L. K. 1982 Policy and Evaluation Perspectives on Traditional Health Practitioners in National Health Care Systems. Social Science and Medicine 16: 1825–1834.
- Press, I. 1980 Problems in the Definition and Classification of Medical Systems. Social Science and Medicine 14B: 45–57.
- Romanucci-Ross, L. 1969 The Hierarchy of Resort in Curative Practices: The Admiralty Islands, Melanesia. Journal of Health and Social Behavior 10: 201–209.
- Unschuld, P. U. 1976 Western Medicine and Traditional Healing Systems: Competition, Cooperation or Integration. Social Science and Medicine 3: 1–20.
- White, K. L. 1973 Life and Death and Medicine. Scientific American 229: 22–23.
- World Health Organization and United Nations Children's Fund. 1978 Primary Health Care: Report of the International Conference on Primary Health Care, Alma-Ata, U.S.S.R., 6–12 September, 1978. World Health Organization: Geneva.
- Worsley, P. 1982 Non-Western Medical Systems. Annual Review of Anthropology 11: 315–348.
- Parallel structures in professional and folk health care: A model applied to rural Hati
Culture, Medicine and Psychiatry
Volume 7, Issue 2 , pp 131-151
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers
- Additional Links
- Jeannine Coreil (1)
- Author Affiliations
- 1. Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, 77550, Galveston, Texas, U.S.A.