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1.
Ann Arbor; U.M.I. Dissertation Information Service; 1992. 546 p. ilus.
Tese em Inglês | MedCarib | ID: med-3672

RESUMO

This study uses an analysis of health care utilization in a rural community in eastern Jamaica, to evaluate health care development in this Caribbean country and suggest new approaches which could improve the effectiveness of health development programs. To make sense of health-seeking strategies it is necessary to look first at the various components of the health care system and their interconnections with the cultural, social, economic, and political realms. This problem is approached through the use of Kleinman's tripatite model of health care systems, which focuses on three interconnecting sectors. Within the popular sector, the realm of self-medication and family based care, there are a variety of options which people use in the early stages of illness. The professional biomedical sector, which includes the government health services and private doctors, plays a vital role when illness does not respond to self - treatment. However, structural ineffeciencies and economic barriers limit access to biomedical treatment, especially for the poorest individuals. The folk sector comprise of a variety of alternatives, public and private, ranging from church - based faith healing to several types of folk practitioners and the African-drived Kumina cult. Spirtual beliefs, which have taken shape through the evolution of Jamaican folk religion, continue to exert a profound influence of health care decision-making. Pattern which emerge from the analysis of numerous cases suggest the health-seeking strategies can be better understood when analyzed not as choices between systems, but as steps in a complex iterative process of coping with illness. The relative balance among the various factors affecting health care decisions changes at different stages of the process. The preponderence of chronic illness in rural Jamaica means that many people cycle continually through the illness and the health-seeking process. There has been a dearth of creative planning aimed at addressing chronic illness, which has become the most important health problem in Jamaica. To better respond to the changing needs of the population, planners and administrators must look for more effective methods of managing chronic illness, including strategies for prevention and treatment(AU)


Assuntos
Adulto , Adolescente , Lactente , Criança , CHILD,PRESCHOOL , Idoso , Pessoa de Meia-Idade , Feminino , Humanos , Masculino , Automedicação , Aceitação pelo Paciente de Cuidados de Saúde , Medicina Tradicional , Jamaica , Atenção à Saúde , Serviços de Saúde do Indígena , Atenção à Saúde , Doença Crônica/terapia , Serviços de Saúde Rural , Medicina Tradicional Africana
2.
Am J Psychiatry ; 140(5): 568-72, May 1983.
Artigo em Inglês | MedCarib | ID: med-12325

RESUMO

Four major ritual patterns are exhibited in a church-based clinic in Jamaica that represents a model of collaborative clinical care catering to spiritual, psychological, and orthodox medical needs. Three of the ritual patterns correspond to the three sectors of health care, with their different beliefs and values, and this creates tension. The forth pattern has the potention to be a superordiate ritual that could bring the clinic together in a cohesive approach to the task of health care, but this does not occur, as staff and patients remain bound in their unique sociocultural traditions and heritage. (AU)


Assuntos
Humanos , Serviços de Saúde do Indígena/organização & administração , Medicina Tradicional , Religião e Medicina , Atenção à Saúde/organização & administração , Saúde Holística , Jamaica
3.
Soc Sci Med [B] ; 15(3): 317-32, July 1981.
Artigo em Inglês | MedCarib | ID: med-15790

RESUMO

The first part of this paper presents data on the socio-medical system of an ethnically heterogeneous society collected during 16 months of fieldwork. Special attention is given to the Black Caribs (or Garifuna). The focus is on the possible functions of alternative therapeutic systems. The second half of the paper provides a semiotic framework for the analysis of illness episodes. It is concluded that the sign of disorder in this context has no single interpertant. Rather there exist a variety of interpertants from which the therapost and patient may select. There are constraints on this process. But the process is enhanced where the patient (and the social group) are free to negotiate a `diagnosis'. Negotiation implies selecting from among a variety of potential meanings; it implies a dialogue in which one goal is an interpretation which is acceptable in cultural terms and which leads to a therapy which is perceived as `appropriate'. Negotiation may also mean the realignment of signs into new `syndromes' which indicate different etiologies or therapies. The existence of alternative therapeutic systems facilitates this process by providing access to new codes governing interpretation. The confrontation with biomedicine and its largely intractable codes may require that the ensuing interpretation incorporate, account for, or partially assimilate the `diagnosis' or interpretation of biomedical personnel. Nevertheless, a single sign may have multiple referents, each consistent with one of the various interpretations imposed by multiple therapeutic systems. These referents may exist simultaneously without inherent contradiction. But to achieve such a consensus may require the development of new models based on an articulation but not an identification of two or more codes.(AU)


Assuntos
Humanos , Adulto , Idoso , Masculino , Serviços de Saúde do Indígena/organização & administração , Belize , Estado de Consciência , Diagnóstico , Sonhos , Serviços de Saúde/organização & administração , Medicina Tradicional , Cura Mental , Simbolismo , Terapêutica
4.
Kingston; s.n; 1981. 100 p.
Monografia em Inglês | MedCarib | ID: med-10270

RESUMO

An investigation of current beliefs, attitudes and practices of consumers and providers of traditional and modern health care was carried out. The study revealed that there was a strong belief in folk healers and herbal remedies-folk medicine (54 percent). 33 percent of the subjects used only the modern health facilities. There is a direct correlation between the useage of folk medicine and the presence or absence of health clinics in the area. Folk healers were mostly consulted for psychological, psychosomatic and inter personal problems. (AU)


Assuntos
Humanos , Masculino , Feminino , Medicina Tradicional , Atenção à Saúde , Conhecimentos, Atitudes e Prática em Saúde , Religião , Plantas Medicinais , Acesso aos Serviços de Saúde , Serviços de Saúde do Indígena/estatística & dados numéricos , Santa Lúcia
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