NIEPEWNOŚĆ, RYZYKO, ZAUFANIE. SYSTEM OPIEKI MEDYCZNEJ I JEGO REFORMY W POSTSOWIECKIM KIRGISTANIE A STRATEGIE ZDROWOTNE MIESZKAŃCÓW BISZKEKU

This paper, based on fieldwork conducted between 2011–2013, deals with the attitudes of the inhabitants of Bishkek to the health care system and its reforms implemented in post-Soviet Kyrgyzstan, and focuses on emotional factors that influence people’s health-seeking strategies in the context of me...

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Main Author: Danuta PENKALA-GAWĘCKA
Format: Article
Language:English
Published: Institute of Archaeology and Ethnology Polish Academy of Sciences 2014-12-01
Series:Etnografia Polska
Subjects:
Online Access:https://journals.iaepan.pl/ep/article/view/86
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author Danuta PENKALA-GAWĘCKA
author_facet Danuta PENKALA-GAWĘCKA
author_sort Danuta PENKALA-GAWĘCKA
collection DOAJ
description This paper, based on fieldwork conducted between 2011–2013, deals with the attitudes of the inhabitants of Bishkek to the health care system and its reforms implemented in post-Soviet Kyrgyzstan, and focuses on emotional factors that influence people’s health-seeking strategies in the context of medical pluralism. I outline the aims and results of the reforms and their evaluation by international and local experts, and confront their opinions with assessments made by the “ordinary” people. In my view, an apparent discrepancy between the official and popular views is due mainly to uncertainty and anxiety related to political instability and economic difficulties of the country, paired with general distrust in medical institutions and, particularly, in professional and moral standards of doctors. Corruption, greed and incompetence of physicians are mentioned among the causes that make therapeutic encounters risky. Such common approach leads to the often observed “doctor-avoiding strategies” and contributes to the increase in popularity of complementary medicine. I discuss some tactics and strategies employed by the people when coping with health problems in those circumstances. As I argue, despite some evident success in reforming health care system, it is important both to recognize its faults and deficiencies, and to take into account emotional factors that significantly shape people’s choices.
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spelling doaj.art-a238f1e93cac4a3c9707ffabb957bea92022-12-22T02:42:34ZengInstitute of Archaeology and Ethnology Polish Academy of SciencesEtnografia Polska0071-18612719-65342014-12-01581-2NIEPEWNOŚĆ, RYZYKO, ZAUFANIE. SYSTEM OPIEKI MEDYCZNEJ I JEGO REFORMY W POSTSOWIECKIM KIRGISTANIE A STRATEGIE ZDROWOTNE MIESZKAŃCÓW BISZKEKUDanuta PENKALA-GAWĘCKA This paper, based on fieldwork conducted between 2011–2013, deals with the attitudes of the inhabitants of Bishkek to the health care system and its reforms implemented in post-Soviet Kyrgyzstan, and focuses on emotional factors that influence people’s health-seeking strategies in the context of medical pluralism. I outline the aims and results of the reforms and their evaluation by international and local experts, and confront their opinions with assessments made by the “ordinary” people. In my view, an apparent discrepancy between the official and popular views is due mainly to uncertainty and anxiety related to political instability and economic difficulties of the country, paired with general distrust in medical institutions and, particularly, in professional and moral standards of doctors. Corruption, greed and incompetence of physicians are mentioned among the causes that make therapeutic encounters risky. Such common approach leads to the often observed “doctor-avoiding strategies” and contributes to the increase in popularity of complementary medicine. I discuss some tactics and strategies employed by the people when coping with health problems in those circumstances. As I argue, despite some evident success in reforming health care system, it is important both to recognize its faults and deficiencies, and to take into account emotional factors that significantly shape people’s choices. https://journals.iaepan.pl/ep/article/view/86strategie zdrowotnereformy systemu opieki zdrowotnejniepewnośćryzykozaufaniepostsowiecka Azja środkowa ;
spellingShingle Danuta PENKALA-GAWĘCKA
NIEPEWNOŚĆ, RYZYKO, ZAUFANIE. SYSTEM OPIEKI MEDYCZNEJ I JEGO REFORMY W POSTSOWIECKIM KIRGISTANIE A STRATEGIE ZDROWOTNE MIESZKAŃCÓW BISZKEKU
Etnografia Polska
strategie zdrowotne
reformy systemu opieki zdrowotnej
niepewność
ryzyko
zaufanie
postsowiecka Azja środkowa ;
title NIEPEWNOŚĆ, RYZYKO, ZAUFANIE. SYSTEM OPIEKI MEDYCZNEJ I JEGO REFORMY W POSTSOWIECKIM KIRGISTANIE A STRATEGIE ZDROWOTNE MIESZKAŃCÓW BISZKEKU
title_full NIEPEWNOŚĆ, RYZYKO, ZAUFANIE. SYSTEM OPIEKI MEDYCZNEJ I JEGO REFORMY W POSTSOWIECKIM KIRGISTANIE A STRATEGIE ZDROWOTNE MIESZKAŃCÓW BISZKEKU
title_fullStr NIEPEWNOŚĆ, RYZYKO, ZAUFANIE. SYSTEM OPIEKI MEDYCZNEJ I JEGO REFORMY W POSTSOWIECKIM KIRGISTANIE A STRATEGIE ZDROWOTNE MIESZKAŃCÓW BISZKEKU
title_full_unstemmed NIEPEWNOŚĆ, RYZYKO, ZAUFANIE. SYSTEM OPIEKI MEDYCZNEJ I JEGO REFORMY W POSTSOWIECKIM KIRGISTANIE A STRATEGIE ZDROWOTNE MIESZKAŃCÓW BISZKEKU
title_short NIEPEWNOŚĆ, RYZYKO, ZAUFANIE. SYSTEM OPIEKI MEDYCZNEJ I JEGO REFORMY W POSTSOWIECKIM KIRGISTANIE A STRATEGIE ZDROWOTNE MIESZKAŃCÓW BISZKEKU
title_sort niepewnosc ryzyko zaufanie system opieki medycznej i jego reformy w postsowieckim kirgistanie a strategie zdrowotne mieszkancow biszkeku
topic strategie zdrowotne
reformy systemu opieki zdrowotnej
niepewność
ryzyko
zaufanie
postsowiecka Azja środkowa ;
url https://journals.iaepan.pl/ep/article/view/86
work_keys_str_mv AT danutapenkalagawecka niepewnoscryzykozaufaniesystemopiekimedycznejijegoreformywpostsowieckimkirgistanieastrategiezdrowotnemieszkancowbiszkeku