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首页> 外文期刊>Qualitative health research >Localizing Global Medicine: Challenges and Opportunities in Cervical Screening in an Indigenous Community in Ecuador
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Localizing Global Medicine: Challenges and Opportunities in Cervical Screening in an Indigenous Community in Ecuador

机译：全球医学：厄瓜多尔土着社区中宫颈筛查的挑战和机遇

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This participatory research study examines the tensions and opportunities in accessing allopathic medicine, or biomedicine, in the context of a cervical cancer screening program in a rural indigenous community of Northern Ecuador. Focusing on the influence of social networks, the article extends research on “re-appropriation” of biomedicine. It does so by recognizing two competing tensions expressed through social interactions: suspicion of allopathic medicine and the desire to maximize one’s health. Semistructured individual interviews and focus groups were conducted with 28 women who had previously participated in a government-sponsored cervical screening program. From inductive thematic analysis, the article traces these women’s active agency in navigating coherent paths of health. Despite drawing on social networks to overcome formidable challenges, the participants faced enduring system obstacles—the organizational effects of the networks of allopathic medicine. Such obstacles need to be understood to reconcile competing knowledge systems and improve health care access in underresourced communities.
机译：该参与性研究研究探讨了在厄瓜多尔农村土着社区的宫颈癌筛查计划中访问分子疗法医学或生物医药的紧张和机会。专注于社交网络的影响，文章延长了生物医学的“重新拨款”研究。它通过认识到通过社会互动表达的两个竞争的紧张局势：怀疑来自疗法医学以及最大化一个人健康的愿望。半系统的个人访谈和焦点小组是用28名曾任参加政府赞助的宫颈筛查计划的妇女进行过。从归纳专题分析中，文章追溯了这些妇女的活跃机构导航健康的连贯路径。尽管绘制了社交网络来克服了强大的挑战，但参与者面临着持久的系统障碍 - 患有症状的组织效应。这种障碍需要被理解为协调竞争知识系统，并改善欠币社区的医疗保健机会。

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