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The role of medical anthropology in the health care system
Focus of medical anthropology in healthcare
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This paper seeks to show the inter-relationship of bio- medical professionals such as doctors and nurses in comparison with medical anthropologists and try to show their relevancy in the healthcare system and their collaboration in inter-professionalism. Medical anthropology is an advancing sub-discipline of anthropology. Medical anthropology is intended to provide a framework, which should enable students to identify and analyze social, cultural, behavioural and environmental factors in relation to health and disease/illness in any given society. Medical anthropologists are not medics or professional doctors but they are usually found within the health care system since they provide an insightful role of involving cultural aspects in diagnosis and treatment of diseases in the healthcare system. This is a perfect and unique example of inter-professionalism in the healthcare system.
In all human societies, beliefs and practises relating to illness are central features of cultural life. Although beliefs and practises strongly influence people’s health it is important to note that culture is not the only factor that influences health.
Clinically applied anthropologists are closely involved with healthcare and patient care as members of the healthcare system. They work with physicians, counsellors, lab technicians and many other paramedical personnel. They are solely involved with raising awareness to important cultural factors in health, some of them even practise medicine. This is multi-disciplinary inter-professionalism in itself.
The other medical anthropologists take a macro-approach and focus on political and economic equality which results to poverty and eventually has an effect on disease. An example of such an anthropolo...
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...o regard inter-professionalism in order to improve the health sector in any given society.
HEALTH SYSTEMS AS PART OF CULTURAL SYSTEMS
Arthur Kleiman (1980), in the book “Patients and Healers in the context of culture” defines cultural systems as a coherent whole of beliefs, norms, arrangements and institutions and patterns of interactions.
Health care systems is the patterns of beliefs about the causes of illnesses ,norms governing the choice and evaluation of treatment and institutions and settings in which the health care takes place as well as power relations that govern the interactions between patients and their healers.
No medical system can be said to be water-tight. For instance, the existence side by side of traditional spiritual healing traditions and western cosmopolitan bio-medical traditions has been reported in such big world cities as Amsterdam.
In the book The Spirit Catches you and you Fall Down, ethnocentrism can also be seen. Throughout the book the family and the doctors have different ideas of medicine/healing techniques are often disagreed on. It’s important for the doctor to see that biomedicine has its own intentions of saving patient through standard procedures and beliefs. Understanding those terms will shed some light on the culture of the patient, which has their own intentions, beliefs, and rules as well. Breaking down ethnocentrism to find an agreement is a good goal to accomplish in order have successful prognosis and healing. In addition, shedding the ethnocentrism will allow the doctors to see the different cultural beliefs and not judge right away. Although, some cultural remedies may not always work, it’s wrong for people to have the mindset of ethnocentrism without even considering their beliefs first.
Kleinman, A. 1980. Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. University of California Press.
As the quintessential Medical Anthropologist Dr. Paul Farmer’s book Aids and Accusation is the typical representative of the interpretivist approach which studies health systems as systems of meaning. So, this works under the belief that people make their own choices and are not connected to laws of science or nature. The research in this field tends to be done from an objective point of view, greater detail, and looks at culture and how people live their lives, therefore obtaining high validity because it is a true representation and is trustworthy.
Through showing the different definitions of health, the authors explain how those different understandings affect patterns of behavior on health depend on different cultures. In addition, an analysis of the models of health demonstrates even western medical approaches to health have different cognitions, same as the Indigenous health beliefs. The most remarkable aspect is a balance, a corresponding core element in most cultures which is an important consideration in Indigenous health as well. From an Indigenous perspective, health is considered as being linked, and keeping the connection is a priority to preserve their health. Consequently, health is a very much culturally determined. Health practitioners should anticipate and respect the cultural differences when they encounter a patient from various cultures. In particular, this article is good to understand why the Indigenous health beliefs are not that different than western medicine views using appropriate examples and comparative composition, even though the implementation the authors indicated is a bit abstract, not
Kleinman, Arthur M. “What Kind of Model for the Anthropology of Medical Systems?” American Anthropologist, New Series, Vol. 80, No. 3 (Sep, 1978), pp. 661-665.
Jean Giddens (2013) defines culture as “a pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language, or live in a defined geographical region.” (Giddens, 2013). A person’s culture influences every aspect that person’s life. Beliefs affected by culture include how someone interacts within the family, how to raise children, the types of foods eaten, the style of clothes chosen, which religion is practiced, and the style of communication (including verbal, and body language, slang used etc.) (Giddens, 2013). In addition to these beliefs, health care practices are also affected by culture. The cause
Robert Desjarlais, A Reader in Medical Anthropology Theoretical Trajectories, Emergent Realities (Oxford: Wiley-Blackwell, 2010) 160.
Cultural competence is a skill essential to acquire for healthcare providers, especially nurses. Cooperating effectively and understanding individuals with different backgrounds and traditions enhances the quality of health care provided by hospitals and other medical facilities. One of the many cultures that nurses and other health care providers encounter is the American Indian or Native American culture. There are hundreds of different American Indian Tribes, but their beliefs and values only differ slightly. The culture itself embodies nature. To American Indians, “The Earth is considered to be a living organism- the body of a higher individual, with a will and desire to be well. The Earth is periodically healthy and less healthy, just as human beings are” (Spector, 2009, p. 208). This is why their way of healing and symbolic items are holistic and from nature.
“An individual’s culture shapes how he or she understands, seeks, reacts to, and expresses feelings about health care throughout the continuum of wellness, including presickness, sickness, and recovery” (Marzilli, 2014, p. 230). Understanding how culture can impact a patient, their needs, and beliefs can improve patient outcomes and improve satisfaction rates.
Sociology of Health and Illness The sociological approaches focus on identifying the two sociological theories. We critically analysed the biomedical model and doctor-patient relationship. We also evaluated how the medical professionals exercise social control and the medical professional’s contribution to ill health. The difference between society and health is studied by sociologists in relation to health and illness.
Certain religious groups reject westernized medicine, like the Amish. Yet, for the most part most religions allow their medicinal practices to work in tandem with westernized medicine. For example, First Nations people tend to have a very holistic view when it comes to their surroundings and medicine. Aboriginal traditional approaches to health and wellness include the use of sacred herbs like sage or tobacco and traditional healers/medicine (pg. 5, Singh, 2009). However, they will not reject help from professionally trained doctors and medical staff. Much like other religions, First Nations put a strong emphasis on family/community. Consensus or decision-making is fairly common for them. A practitioner or medical staff member must remember to respect ceremonial objects such as tobacco or traditional blankets, include immediate family members when making a treatment decision, and to accommodate spiritual practices. Normally, organ donation is accepted UNLESS the organ is being removed from someone who is not deceased. First Nations’ believe that their bo...
To further introduce Medical Anthropology, I will reiterate highlights of my previous presentations. Early on in Turkey, I asked each person in our program the following question: "I would like you to tell me about health and what it means to you?" The answers to this question varied widely, making it difficult to define a global conception of health. In analyzing the answers, I established the following five components of health:
How does culture influence health? Give some examples of ethnic and cultural influences on the health of individuals or populations.
Haitian culture offers a wide range of explanation for illness based upon the social, cultural and religious beliefs. The explanations are also dependent upon the locations and the class. They hold multiple views since they mainly rely on hybrid models which eventually lead them to consult for an illness from different persons.
Melissa Cheyney is a medical anthropologist and licensed midwife. She obtained Master's in bio-archaeology with a focus on health and disease patterns in classical antiquity. As Melissa entered her doctoral program, her focus began to shift to the health of living populations. (Oregon State)