多元医疗体系下的健康精准帮扶研究--以云南凤庆为例

Research on Targeted Poverty Alleviation of Health under Multiple Medical System--Take Fengqing of Yunnan as An Example

本研究以在云南凤庆县的田野调查为基础,探索当地疾病谱系背后的社会历史影响因素和多元文化下的多元医疗体系,以及特殊身体观和医药观如何影响人们的就医选择,从社会文化的角度重新审视当地健康精准扶贫"扶不准"和"扶不好"的现状。并尝试从当地人的视角出发,检验当地健康精准扶贫政策的效果,探讨如何在多元医疗体系并存的现实格局下改进民族地区的健康精准扶贫工作,斩断从"贫困"到"疾病"再从"疾病"到"贫困"的发生链。

Based on a field survey in Fengqing County, Yunnan, this research explores the social and historical factors behind the local disease spectrum and how the multiple medical system and people’s outlook on body and medicine affect their choice of medical treatment, meanwhile rethinking the poverty alleviation status quo of"inaccuracy" and"inefficiency" in the context of local culture. This research attempts to evaluate the policies from the perspective of locals, and explores how to make progress in targeted poverty alleviation of health in ethnic areas under the diversified medical system and cut off the causal relationship between poverty and disease.