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21 Cards in this Set

  • Front
  • Back
96% of patients had received some advice or treatment before consulting their GP in this study
Elliott-Binns 1970

Study repeated 15 years later - but THINK how different it would be today
Increasingly people recourse to impersonal sources of health advice: Telemedicine, NHS direct/111, INTERNET
(Related to) Elliott-Binns 1970
Why do people use alternative remedies?
Natural, holistic, Western med isn't working, lack of knowledge about how medical treatment works, patient empowerment, treatments are 'cheap' and safe
Feeling it works --> It works
78% attend alternative people with musculo-skeletal conditions
Thomas 1991
Patients of non-orthodox health care had not turned their backs on conventional care, rather non-orthodox was sought as a supplement to orthodox medicine
Thomas 1991
There are 'multiple levels' of disease (from national (treated with vaccination policy) to an organelle malfunctioning (treated with radiotherapy))
Thomas 1991
Ways of defining a disease:
Deficient liver Qi
Pulstilla constitution
Peptic ulcer
Thomas 1991
London homeopathic hospital 'renamed'
To avoid stigma?
What's 'hot' and 'cold' in the proper language?
Garam and thanda
'Hot' may simply be the best western translation of 'Garam' - it may be a proxy for various symptoms which may be related to drug side-effects
Bhopal 1986
'I am completely against the use of Asian medicines in Britian' yet took ginger for his asthma...
Bhopal 1986
Lots of asians looked at asian medication negatively
Bhopal 1986
In this study, Asian patients generally thought doctors 'did not listen' and 'do not want Asian patients to be there'
Bhopal 1986
Consider if you were in Thailand - I would want to see a 'Western doctor' in a 'Western environment' if possible
Not only for its evidence, but because its comforting being treated in an environment and by someone familiar with your culture and 'ways'

(I think for some, the fact Western medicine is evidence based is serendipity)

Same with food, TV, etc.
The Asian healer listens very carefully, while the doctors here do not.

Sometimes I wish I did not come - especially as they give me medicine that often does not work
Bhopal 86
Stopping treatment when symptoms subsided seemd to be a common response
Bhopal 86

An important thing to consider with GP training...
This person puts forward that homeopathy is 'peanuts' (£4 million). Condemning a treatment because the proposed mechanism of action does not fit the scientific dogma has a soviet feel (See Galileo)
Stanford 2011
There are dangers of homeopathy - consider malaria prophylaxis
Stanford 2011
If you probe Western medicine deep enough, the ultimate answer to the question 'How does that work' is 'I don't know'
It seems alternative medicine is like that, but at a more superficial level
Outcome of professionalisation process is the acquisition of a monopoly and autonomy
Cant 1996
Stages of 'professionalisation' and who came up with them
Cant 1996
Unification (many providers united as a group that agree on one purpose and identity)
Codification of knowledge (through training programmes)
Social closure (not everyone can get in - exclusivity)
Alignment to scientific paradigm (respected and verified)
Support from strategic elites (e.g. the state)