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Is There a Role for Complementary and Alternative Medicine in Preventive and Promotive Health? An Anthropological Assessment in the Context of US Health Reform

机译:补充医学和替代医学在预防和促进健康方面是否有作用?美国卫生改革背景下的人类学评估

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Chronic conditions associated with lifestyle and modifiable behaviors are the leading causes of morbidity and mortality in the United States. The implementation of the Affordable Care Act offers an historic opportunity to consider novel approaches to addressing the nation's public health concerns. We adopt an anticipatory anthropological perspective to consider lifestyle behavior change as common ground shared by practitioners of both biomedicine and common forms of complementary and alternative medicine (CAM). At issue is whether CAM practitioners might play a more proactive and publicly endorsed role in delivering preventive and promotive health services to address these needs. Recognizing that this is a contentious issue, we consider two constructive roles for engaged medical anthropologists: (1) as culture brokers helping to facilitate interprofessional communities of preventive and promotive health practice and (2) in collaboration with health service researchers developing patient-near evaluations of preventive and promotive health services on patient well-being and behavior change.
机译:与生活方式和可改变的行为相关的慢性病是美国发病和死亡的主要原因。 《平价医疗法案》的实施提供了一个历史性的机会,可以考虑采用新颖的方法来解决国家的公共卫生问题。我们采用人类学的前瞻性观点,将生活方式的变化视为生物医学和补充医学与替代医学(CAM)常见形式的实践者共有的观点。争议的是,CAM的从业人员在提供预防性和促进性的卫生服务以满足这些需求方面是否可能扮演更积极和公众认可的角色。认识到这是一个有争议的问题,我们考虑聘用医学人类学家扮演两个建设性角色:(1)作为文化中介人,帮助促进预防和促进健康实践的专业间社区;(2)与卫生服务研究人员合作开发接近患者的评估预防和促进健康服务对患者福祉和行为改变的影响。

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