Deciphering "integrated Chinese and Western medicine" in the rural Lijiang basin : state policy and local practice (s) in socialist China.
Based on ethnographic research during an eighteen-month period in 1989-90, this article explores the rural practice of « integrated Chinese and Western medicine » (integrated medicine) in southwest China's Lijiang basin.
Integrated medicine is a consciously formulated hybrid medical practice that was introduced by Chairman Mao during the Cultural Revolution as the cornerstone of national health policy.
It was originally envisioned as the epistemological handmaiden of the « cooperative health care » system (of « barefoot doctor » fame).
The relationship between the respective People's Republic of China (PRC) practices of « Chinese medicine » and « Western medicine » embedded in integrated medicine is explored here on two levels.
Integrated medicine is analyzed both as a state policy and as an everyday practice engaged in by village practitioners and lay villagers alike.
During the Maoist period, integrated medicine in the rural Lijiang basin was particularly receptive to local interpretation and experimentation by « the masses. » This local license in interpreting state policy represented a point of contrast between integrated medicine and other state-sanctioned medical practices.
During the ensuing first decade of the post-Mao period, a popular cultural influence on integrated medicine persisted. (...)
Mots-clés Pascal : Médecine, Zone rurale, Pratique professionnelle, Médecin, Soin intégré, Aspect culturel, Médecine traditionnelle, Evaluation, Homme, Politique sanitaire, Système santé, Chine, Asie, Personnel sanitaire
Mots-clés Pascal anglais : Medicine, Rural area, Professional practice, Physician, Managed care, Cultural aspect, Folk medicine, Evaluation, Human, Health policy, Health system, China, Asia, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0464931
Code Inist : 002B30A01B. Création : 22/03/2000.