PORTAL DE REVISTAS ACADÉMICAS Y CIENTÍFICAS PORTAL DE REVISTAS ACADÉMICAS Y CIENTÍFICAS

La navaja de Ockham desafilada, o cuando menos no es más: pluralismo médico en la sociedad global

Silvia Waisse

Resumen

Pluralitas non est ponenda sine necessitate. En una curiosa instancia de metábasis, este célebre dicho—“la pluralidad no se debe postular sin necesidad”—parece encontrar expresión ideal contemporáneamente en el área de la salud: el sistema médico derivado de la ciencia moderna occidental se diseminó ampliamente, al punto de ser globalmente conocido como ‘medicina convencional’. Esta parece también ser la percepción de diversos investigadores -historiadores, especialistas en medicina social, entre varios otros- que han enfatizado la difusión global de la medicina occidental, citando, como notas al margen, la ‘llegada’ de otros sistemas médicos, considerados ‘alternativos’, o ‘complementarios’ en el mejor de los casos. Sin embargo, la integración de diversas tradiciones culturales es un fenómeno que viene ganando espacio y visibilidad. Un ejemplo notable es representado por los esfuerzos para establecer diálogo entre diversas culturas médicas, ya no en relación de subordinación, sino como equivalentes en sus contribuciones al objetivo general de promoción, preservación y recuperación de la salud física, mental y social. El foco de este trabajo es la construcción de un marco conceptual y metodológico unificado como parte de la iniciativa de la Organización Mundial de la Salud para crear un sistema de clasificación que facilite la comprensión de tendencias globales y locales. Como estudio de caso, se analiza la reciente (mayo de 2019) inclusión de la llamada Medicina Tradicional en la 11ª edición de la Clasificación Internacional de Enfermedades (CIE-11), que entrará en vigor el 1º de enero de 2022.

Palabras clave

medicina tradicional; medicina convencional; integración; organización del conocimiento

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Referencias

Alfonso-Goldfarb, A.M., Waisse, S. & Ferraz, M. H. (2013). From shelves to cyberspace. Organization of knowledge and the complex identity of history of science. Isis, 104 (3), 551–560. DOI: https://doi.org/10.1086/673274

Baer, H. A. (2004). Medical pluralism. In Ember, C. & Ember, M. (Ed.) Encyclopedia of medical anthropology. Health and illness in the world’s cultures. Vol. 1, Topics (pp. 109–116). New York, USA: Kluwer Academic/Plenum Publishers.

Bivins, Roberta. (2007). Alternative medicine? A history. Oxford, UK: Oxford University Press.

Bornhöft, G. & Matthiessen, P. F. (Ed.). (2011). Homeopathy in healthcare. Effectiveness, appropriateness, safety, costs. Berlin, Germany: Springer.

Cant, S. & Sharma, U. (1999).A new medical pluralism? Alternative medicine, doctors, patients and the state. London, England: Routledge.

Choi, S.-H., Watanabe, K., Shim, B., Zhu, H. & Roberts, R. (2006). International Classification of Traditional Medicine: ICTM. Proposal to WHO-FIC Family Development Committee for inclusion of ICTM in the World Organization Family of International Classifications. Meeting of the Collaborating Centres for the Family of International Classifications. Document C408. Available at: https://www.who.int/classifications/network/meetings/en/.

Cueto, M, Brown T.M. & Fee, E. (2019). The World Health Organization. A history. Cambridge, UK: Cambridge University Press.

Cueto, M. (2004). The ORIGINS of primary health care and SELECTIVE primary health care. American Journal of Public Health, 93 (11), 1864-1874. DOI: https://doi.org/10.2105/ajph.94.11.1864

Dinges, M. (2013). Medical pluralism—past and present. Towards a more precise concept. In Jütte, R. (Ed.). Medical pluralism. Past—present—future (pp. 195–205). Stuttgart, Germany: Franz Steiner.

Dinges, M. (2014). Introduction. In Dinges, M. (Ed.). Medical pluralism and homoeopathy in India and Germany (1810–2010). A comparison of practices (pp. 7–30). Stuttgart, Germany: Franz Steiner.

Djulbegovic, B. & Guyatt, G. H. (2017). Progress in evidence-based medicine: a quarter century on. The Lancet, 390, 415–423.

Ernst, W. (2013). Medical plurality, medical pluralism and plural medicine. A critical reappraisal of recent scholarship. In Jütte, R. (Ed.). Medical pluralism. Past—present—future (pp. 11–23). Stuttgart, Germany: Franz Steiner.

Fontanarosa, P. B. & Lundberg, G. D. (1998). Alternative medicine meets science. JAMA, 280 (18), 1618–1619. DOI: https://doi.org/10.1001/jama.280.18.1618

Foran, B. J. (2007). Medical pluralism and global health policy. The integration of traditional medicine in health care systems. PhD dissertation. PhD in Social Policy. University of Western Sidney, Australia. Available at: https://researchdirect.westernsydney.edu.au/islandora/object/uws:3623

Gross, M. (2018). Between party, people and profession. The many faces of the ‘doctor’ during the Cultural Revolution. Medical History, 62 (3), 333-356. DOI: https://doi.org/10.1017/mdh.2018.23

Hsu, Elisabeth. (2008). Medical pluralism. In Heggenhougen, K. & Quah, S.R. (Ed.). International encyclopedia of public health (pp. 316–319). Amsterdam, The Netherlands: Elsevier.

Institute of Medicine (United States). Committee on the Use of Complementary and Alternative Medicine by the American Public. (2005). Complementary and Alternative Medicine in the United States. Washington D. C.: National Academies Press. Available at: ncbi.nlm.nih.gov/books/NBK83799

Jinfgu, T. (1985). Traditional Chinese Medicine. Past, present and future. In Akerelle, O., Stott, G. & Weibo, L. (Ed.). The role of traditional medicine in primary health care in China (pp. 11–18). Geneva, Switzerland: WHO/Ministry of Public Health of the People’s Republic of China. Available at: https://apps.who.int/iris/handle/10665/60624

Jütte, R. (Ed.). (2013). Medical pluralism. Past—present—future. Stuttgart, Germany: Franz Steiner.

Jütte, R. (2017). Medical pluralism: what can we learn from history?, Inaugural lecture at the Homeopathic World Congress, Leipzig. Available at: http://www.igm-bosch.de/content/language1/downloads/MedicalPluralism.pdf.

Kaptchuk, T. J. & Eisenberg, D. M. (2001) Varieties of healing 1. Medical pluralism in the United States. Annals of Internal Medicine, 2001, 135(3), 189–195.

Klayman, D. L. (1985). Qinghaosu (artemisinin). An antimalarial drug from China. Science, 228, 1045–1055.

Leslie, C. (1980). Medical pluralism in world perspective [1]. Social Science & Medicine, 14B, 1919–195.

Madden, R., Sykes, C. & Ustun, T. B. (2007). World Health Organization Family of International Classifications. Definition, scope and purpose. Available at: https://www.who.int/classifications/en/FamilyDocument2007.pdf

Métailié, G. (Ed.). (2015). Science and civilization in China, Vol. VI, Part 4. Cambridge, England: Cambridge University Press.

Métailié, G. (2019). How traditional Chinese materia medica entered modern medicine, 1956–1977. In Alfonso-Goldfarb, A. M., Ferraz, M. H., Goldfarb, J. L. & Waisse, S. (Ed.). História da ciência na PUC-SP. Uma viagem de 20 anos (pp. 76-82). São Paulo, Brazil: Editora da Pontifícia Universidade Católica de São Paulo.

Miller, L.H. & Su, X. (2011). Artemisinin: a discovery from the Chinese herbal garden. Cell, 146 (6), 855–858. DOI: https://doi.org/10.1016/j.cell.2011.08.024

Morris, W, Gomes, S. & Allen, M. (2012). International Classification of Traditional Medicine. Global Advances in Health and Medicine 1 (4), 38-41. DOI: https://doi.org/10.7453/gahmj.2012.1.4.005

Penkala-Gawęcka, D. & Rajtar, M. (2016). Introduction to the Special Issue ‘Medical Pluralism and Beyond.’ Anthropology & Medicine, 23 (2), 129–134. DOI: https://doi.org/10.1080/13648470.2016.1180584

Shi, C.-C., Su, Y.-C., Liao, C.-C. & Lin, J.-C. (2010). Patterns of medical pluralism among adults. Results from the 2001 National Health Interview Survey in Taiwan. BMC Health Services Research, 10, article number: 191. DOI: https://doi.org/10.1186/1472-6963-10-191

Sivin, N. (Ed.). (2001). Science and civilisation in China, Vol. VI, Part 6. Cambridge, England: Cambridge University Press.

Souza, E. P. (2010). Ciências de interface: problemas, desafios e estudo de caso. PhD dissertation. PhD in History of Science. Pontifical Catholic University of São Paulo, Brazil. Available at: https://tede2.pucsp.br/bitstream/handle/13239/1/Elaine%20Pereira%20de%20Souza.pdf

Tong, X. (1985). Combining Traditional Chinese Medicine and modern medicine. In Akerelle, O., Stott, G. & Weibo, L. (Ed.). The role of traditional medicine in primary health care in China (pp. 11–18). Geneva, Switzerland: WHO/Ministry of Public Health of the People’s Republic of China. Available at: https://apps.who.int/iris/handle/10665/60624

Tu, Y. (2011). The discovery of artemisinin (qinghaosu) and gifts from Chinese medicine. Nature Medicine, 17 (10), 1217–1220. DOI: https://doi.org/10.1038/nm.2471

World Health Assembly (WHA) 20. (1967). WHO Nomenclature Regulations 1967. Geneva, Switzerland: World Health Organization. Available at: https://apps.who.int/iris/handle/10665/89478

World Health Organization (WHO). (1977). The promotion and development of traditional medicine. Meeting report. Geneva: WHO. Available at: https://apps.who.int/iris/handle/10665/40995

World Health Organization (WHO). (1990). A standard international acupuncture nomenclature: memorandum from a WHO meeting. Bulletin of the World Health Organization, 68 (2): 165–169. Available at: https://apps.who.int/iris/handle/10665/50680

World Health Organization (WHO). (2002). WHO Traditional medicine strategy 2002–2005. Geneva, Switzerland: WHO. Available at: https://apps.who.int/iris/bitstream/handle/10665/67163/WHO_EDM_TRM_2002.1.pdf?sequence=1

World Health Organization (WHO). (2013). WHO Traditional medicine strategy 2014–2023. Geneva, Switzerland: WHO. Available at: who.int/medicines/publications/traditional/trm_strategy14_23/en/

World Health Organization (WHO). (2019). WHO global report on traditional and complementary medicine 2019. Geneva, Switzerland: WHO. Available at: https://www.who.int/traditional-complementary-integrative-medicine/WhoGlobalReportOnTraditionalAndComplementaryMedicine2019.pdf?ua=1

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