本土健康觀念、健康維護及醫病互動：以體質觀為例
Other Title
Indigenous Health Concepts, Health Maintenance and Patient-Physician
Interaction -- Physical Constitution as An Example
Interaction -- Physical Constitution as An Example
Date Issued
1999-07-31
Date
1999-07-31
Author(s)
丁志音
DOI
882412H002009
Abstract
To systematically explore health concepts
which are culturally constructed, this
research examines the indigenous health
concept “physical constitution,” its relation
to health status, and the roles it plays in
health seeking process and patient-physician
interaction. Data collection were carried
out through in-depth and focus-group
interviews among 9 physicians (4 biomedical
and 5 Chinese medical doctors) and 28
patients. The major findings are: (1) As a
comprehensive, multi-dimensional concept
with a characteristic of holism, physical
constitution is shaped by genetic heredity,
life experiences, life cycle, life style, and
special medical care and health maintenance
interventions, (2) Physical constitution is
characterized simultaneously as “invariable”
as it was established from inborn as well as
having a potential of being “changeable,” (3)
The co-existence of “invariability” and
“changeability” of physical constitution
provides a way for making disease attribution
while facing with uncertainty and a hope for patients who confronted distressing situations
which cannot be well-treated with biomedical
technology, (4) Physical constitution is thus
considered by the general public as a
reference for health promotion and
maintenance in daily life, and a coping
strategy for dealing with uncertainty inherent
in clinical reality both for physicians and
patients, and (5) Members of the younger
generation are more likely to relate physical
constitution to genetic factors, immune
system (immune function) and “capability of
fighting and attaching insults and infections.”
In general, physical constitution is a health
concept of adaptability to lay persons' health
belief system.
Subjects
Physical constitution
Holism
Patient-physician interaction
Disease
Attribution
Attribution
Uncertainty
Publisher
臺北市：國立臺灣大學公共衛生學院公共衛生學系
Type
report
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882412H002009.pdf
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Format
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