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说起来比做起来容易:医疗整合的政策
1Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Asian bioethics review
|January 26, 2026
概括
世界卫生组织 (WHO) 倡导将传统医学与生物医学相结合. 然而,这篇论文认为,由于存在学上的分歧,整合是不可行的,并有可能使殖民态度和认识论上的不公正延续下去.
科学领域:
- 医疗保健政策 医疗保健政策
- 医学人类学医学人类学
- 医学哲学 医学哲学
背景情况:
- 世界卫生组织 (WHO) 倡导将传统医学系统与传统生物医学相结合.
- 传统药物的认知真实性和合法性涉及政治,概念和科学方面的考虑.
- 整合的支持者引用了诸如改善医疗保健资源利用,扩大患者选择和对传统知识的认可等好处.
研究的目的:
- 批判性地评估将传统药物与生物医学相结合的可取性和可行性.
- 检查这种整合举措的潜在好处和缺点.
- 探索传统和生物医学范式之间潜在的本体学差异.
主要方法:
- 传统医学实践与生物医学范式之间的本体学差异的概念分析.
- 批评审查支持和反对融合的论点.
- 检查潜在的社会政治影响,包括殖民态度和认识不公正.
主要成果:
- 传统医疗实践和生物医学范式之间存在着深刻的本体学分歧,使整合在概念上具有挑战性.
- 整合努力可能无意中复制殖民权力动态,并延续对土著知识系统的认识体系不公正.
- 传统医学的合法性受到了科学验证之外的政治因素的影响.
结论:
- 传统医学与生物医学的整合可能是不可行的,因为存在着根本的存在学不兼容性.
- 追求整合可能会加剧历史上的不平等和认识系统的不公正,而不是实现公平的医疗保健.
- 在考虑医疗保健系统的包容性时,对权力动态和存在学差异的批判性审查至关重要.
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