Alarcón-Muñoz AM, Vidal-Herrera AC

Language: Spanish
References: 15
Page: 440-446
PDF size: 113.82 Kb.

ABSTRACT

Objective. To explore the cultural dimensions of the childhood primary health care delivery process from the mothers’ perceptions in the Araucania region of Chile. Material and Methods. Qualitative study performed in the year 2003 within the zone with the highest ethnicity rate of the country. Ninety four Mapuche and non-Mapuche mothers agreed to be in depth interviewed. Results. The analysis drew three cultural dimensions: a) Explanatory models of disease were associated with cultural, political-economy, and environmental factors; b) The therapeutic itinerary blends indigenous, popular, and biomedical resources and; c) Health care delivery process lacks of cultural competence. Conclusions. The mothers explain their children diseases articulating religious, magic, and natural (hot, cold, humidity) causes. The main challenge of the primary healthcare delivery process is to overcome the communicational barriers due to the social and linguistic differences between mothers and health care providers.

REFERENCES

1. Kleinman A. Patients and healers in the context of culture. Berkeley: University Press, 1980.

2. Helman C. Culture, health, and illness. Oxford: Butterworth-Heinemann, 1994.

3. Hanhn R. Sickness and healing: An anthropological perspective. New Haven: Yale University Press, 1995.

4. Bryant J. Health and developing world. Cornell: University Press, 1975.

5. Strauss A, Glaser B. Discovery of substantive theory: A basic strategy underlying qualitative research. Chicago: Markham, 1970.

6. Bernard R, Ryan G. Text análisis: Qualitative and quantitative methods. En: Russel B, comp. Handbook of methods in cultural anthropology. Walnut Creek: Altamira Press, 1998: 65-87.

7. Potter J. Discourse analysis as a way of analyzing naturally occurring talks. En: Silverman D, comp. Qualitative research: Theory, method and practice. Thousand Oaks: Sage Publications, 1997: 97-112.

8. Miles M, Huberman A. Qualitative data analysis. Newbury Park: Sage Publications, 1994.

9. Prior L. Text and context in qualitative research. En: Silverman D, comp. Qualitative research: Theory, method and practice. Thousand Oaks: Sage Publications, 1997:113-145.

10. Harwood A. The hot-cold theory of disease: implications for the treatment of Puerto Rican patients. En: Brown P, comp. Understanding and applying medical anthropology. Mountain View: Mayfield Publishing Company, 1998: 251-260.

11. Kleinman A, Csordas T. The therapeutic process. En: Sargent C, Johnson T, comp. Medical anthropology: contemporary theory and method. Westport: Praeger Publishers, 1996:3-21.

12. Nichter M. Anthropological approaches to the study of ethnomedicine. Philadelphia: Gordon and Breach Science Publishers, 1992.

13. Janzen J. Therapy management: concept, reality, process. Med Anthropol Q 1987; 1:68-84.

14. Betancourt J. Cultural competence: marginal or mainstream movement?. N Engl J Med 2004; 10:953-955.

15. Berlin E, Fowkes W. A teaching framework for cross cultural health. En: Brown P, comp. Understanding and applying medical anthropology. Mountain View: Mayfield Publishing Company, 1998: 303-309.