Title |
Negotiating “The Social” and Managing Tuberculosis in Georgia
|
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Published in |
Journal of Bioethical Inquiry, January 2016
|
DOI | 10.1007/s11673-015-9689-6 |
Pubmed ID | |
Authors |
Erin Koch |
Abstract |
In this paper I utilize anthropological insights to illuminate how health professionals and patients navigate and negotiate what for them is social about tuberculosis in order to improve treatment outcomes and support patients as human beings. I draw on ethnographic research about the implementation of the DOTS (Directly Observed Therapy, Short Course) approach in Georgia's National Tuberculosis Program in the wake of the Soviet healthcare system. Georgia is a particularly unique context for exploring these issues given the country's rich history of medical professionalism and the insistence that the practice of medicine is a moral commitment to society. I argue for critical attention to the ways in which treatment recipients and providers navigate what, for them, is "social" about therapeutic practices and their significance for avoiding biological and social reductionism. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
South Africa | 1 | 3% |
Unknown | 38 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 7 | 18% |
Researcher | 6 | 15% |
Student > Bachelor | 5 | 13% |
Student > Doctoral Student | 3 | 8% |
Student > Master | 3 | 8% |
Other | 5 | 13% |
Unknown | 10 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 18% |
Social Sciences | 6 | 15% |
Nursing and Health Professions | 5 | 13% |
Biochemistry, Genetics and Molecular Biology | 2 | 5% |
Agricultural and Biological Sciences | 1 | 3% |
Other | 4 | 10% |
Unknown | 14 | 36% |