CoChat
Sign Up
Cited by 137Indigenous Health, Education, and RightsTraditional Chinese Medicine StudiesHistory of Medicine Studies

The DOI matches its Crossref record.

The health transition, global modernity and the crisis of traditional medicine: the Tibetan case

Janes, Craig R·1999·Social Science & Medicine
DOI 10.1016/s0277-9536(99)00082-9
Open this paper in CoChat — free account

Abstract

The epidemiologic and demographic consequences of the health transition, coupled with worldwide pressures for health care reform according to neoliberal tenets, will create new opportunities, and well as new problems, for organized systems of indigenous medicine. Spiraling costs of biomedically-based health care, coupled with an increasing global burden of chronic, degenerative diseases and mental disorder, will produce significant incentives for the expansion of indigenous alternatives. Yet this expansion will be accompanied by pressures to rationalize and modernize health care services according to the structurally dominant scientific paradigm. Without concerted effort to maintain native epistemologies, indigenous medical systems face an inevitable slide into narrow herbal traditions and a loss of those elements of diagnosis and therapy which may be the most valuable and effective. Analyzing the case of Tibetan medicine and other Asian medical systems, I show how this process occurs and how it is resisted. I conclude by discussing the policy dimensions of this problem.

Overview

Integrity signals

Registry

Crossref · 10.1016/s0277-9536(99)00082-9

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The Indian discourse is also uninformed by critical social science analysis of the political economy of traditional/herbal medicine regulatory barriers.

    “The Indian discourse is also uninformed by critical social science analysis of the political economy of traditional/herbal medicine regulatory barriers.”

    From Indian Imaginaries of Chinese Success in the Global Herbal Medicine Market: A Critical Assessment (2019) · cites this paper as Janes 1999

Citations

Cites

No references could be resolved yet.

Research works printed but not linked: 46

  1. Adams, V., in press. Winds of change: Tibetan medicine, racialized politics and the transformations of suffering in Lhasa. In: Connor, L., Samuel, G. (Eds.), Healing Powers and Modernity in Asian Societies.
  2. Angel, 1987, The impact of culture on the cognitive structure of illness, Culture, Medicine and Psychiatry, 11, 465, 10.1007/BF00048494 · DOI
  3. Anderson, 1991, The efficacy of ethnomedicine. Research methods in trouble, Medical Anthropology, 13, 1, 10.1080/01459740.1991.9966038 · DOI
  4. Anyinam, 1987, Availability, accessibility, acceptability, and adaptability: four attributes of African ethnomedicine, Social Science & Medicine, 25, 803, 10.1016/0277-9536(87)90038-4 · DOI
  5. Armstrong, 1987, Theoretical tensions in biopsychosocial medicine, Social Science & Medicine, 25, 1213, 10.1016/0277-9536(87)90368-6 · DOI
  6. Baer, 1987, Divergence and convergence in two systems of manual medicine: osteopathy and chiropractic in the United States, Medical Anthropology Quarterly, 1, 176, 10.1525/maq.1987.1.2.02a00030 · DOI
  7. Beauchamp, 1976, Public health as social justice, Inquiry, 12, 3
  8. Bibeau, 1985, From China to Africa: the same impossible synthesis between traditional and Western medicine, Social Science & Medicine, 21, 937, 10.1016/0277-9536(85)90152-2 · DOI
  9. Bunker, 1994, Improving health: measuring effects of medical care, Milbank Quarterly, 72, 225, 10.2307/3350295 · DOI
  10. Chi, 1996, The practice of Chinese medicine in Taiwan, Social Science & Medicine, 43, 1329, 10.1016/0277-9536(95)00429-7 · DOI
  11. Colson, 1971, The differential use of medical resources in developing countries, Journal of Health and Social Behavior, 12, 226, 10.2307/2948558 · DOI
  12. Coreil, 1980, Traditional and western responses to an anthrax epidemic in rural Haiti, Medical Anthropology, 4, 79, 10.1080/01459740.1980.9965864 · DOI
  13. Frankenberg, 1980, Medical anthropology.and development: a theoretical perspective, Social Science & Medicine, 14B, 197
  14. Frenk, 1989, Health transition in middle-income countries: new challenges for health care, Health Policy and Planning, 4, 29, 10.1093/heapol/4.1.29 · DOI
  15. Green, 1988, Can collaborative programs between biomedical and African indigenous health practitioners succeed?, Social Science & Medicine, 27, 1125, 10.1016/0277-9536(88)90341-3 · DOI
  16. Hsiao, 1995, The Chinese health care system: lessons for other nations, Social Science & Medicine, 41, 1047, 10.1016/0277-9536(94)00421-O · DOI
  17. Hsiao, 1996, Economic reform and health. Lessons from China, New England Journal of Medicine, 335, 430, 10.1056/NEJM199608083350611 · DOI
  18. Jamison, 1991, Disease control priorities in developing countries: health policy responses to epidemiological change, American Journal of Public Health, 81, 15, 10.2105/AJPH.81.1.15 · DOI
  19. Janes, 1995, The transformations of Tibetan medicine, Medical Anthropology Quarterly, 9, 6, 10.1525/maq.1995.9.1.02a00020 · DOI
  20. Janes, C.R., 1999. Imagined lives, suffering and the work of culture: the embodied discourses of conflict in modern Tibet. Medical Anthropology Quarterly, in press. · DOI
  21. Janes, C.R., in press. Tibetan medicine at the crossroads: radical modernity and the social organization of traditional medicine in the Tibet autonomous region, China. In: Connor, L., Samuel G. (Eds.), Healing Powers and Modernity in Asian Societies.
  22. Landy, 1974, Role adaptation: traditional curers under the impact of Western medicine, American Ethnologist, 1, 103, 10.1525/ae.1974.1.1.02a00060 · DOI
  23. Laurell, 1996, Market commodities and poor relief. The World Bank proposal for health, International Journal of Health Services, 26, 1, 10.2190/PBX9-N89E-4QFE-046V · DOI
  24. Lee, 1982, Comparative atudies of health care systems, Social Science & Medicine, 16, 629, 10.1016/0277-9536(82)90453-1 · DOI
  25. Leslie, 1980, Medical pluralism in world perspective, Social Science & Medicine, 1413, 191
  26. Liu, 1998, Health care systems in transition II. Taiwan, part 1: a general overview of the health care system in Taiwan, Journal of Public Health Medicine, 20, 5, 10.1093/oxfordjournals.pubmed.a024718 · DOI
  27. Lock, 1990, Rationalization of Japanese herbal medication: the hegemony of orchestrated pluralism, Human Organization, 49, 41, 10.17730/humo.49.1.g1v70711340t6122 · DOI
  28. Mosley, 1990, The health sector in developing countries: problems for the 1990s and beyond, Annual Review of Public Health, 11, 335, 10.1146/annurev.pu.11.050190.002003 · DOI
  29. Nichter, 1981, Idioms of distress: alternatives in the expression of psychosocial distress, a case study from south India, Culture, Medicine and Psychiatry, 5, 379, 10.1007/BF00054782 · DOI
  30. Omran, 1971, The epidemiologic transition: a theory of the epidemiology of population change, Milbank Memorial Fund Quarterly, 49, 509, 10.2307/3349375 · DOI
  31. Olshansky, 1986, The fourth stage of the epidemiologic transition: the age of delayed degenerative diseases, Milbank Memorial Fund Quarterly, 64, 355, 10.2307/3350025 · DOI
  32. Paalman, 1998, A critical review of priority setting in the health sector: the methodology of the 1993 World Development Report, Health Policy and Planning, 13, 13, 10.1093/heapol/13.1.13 · DOI
  33. Pillsbury, 1982, Policy and evaluation perspectives on traditional health practitioners in national health care systems, Social Science & Medicine, 16, 1825, 10.1016/0277-9536(82)90443-9 · DOI
  34. Rubel, 1979, Introduction: parallel medical systems, Social Science & Medicine, 13B, 1
  35. Sharlho, 1992, China's reforms in Tibet: issues and dilemmas, Journal of Contemporary China, 1, 34, 10.1080/10670569208724155 · DOI
  36. Silverman, 1987, The drugging of the third world, International Journal of Health Services, 12, 585, 10.2190/2VQV-KU9Y-FVPX-N4B6 · DOI
  37. Singer, 1986, Developing a critical perspective, Medical Anthropology, 17, 128, 10.1111/j.1937-6219.1986.tb01055.x · DOI
  38. Singer, 1988, Culture, critical theory, and reproductive illness behavior in Haiti, Medical Anthropology Quarterly, 2, 370, 10.1525/maq.1988.2.4.02a00060 · DOI
  39. Singer, 1988, Two gods that are failing for medical anthropologists, Anthropology Newsletter, 2, 235
  40. Taussig, 1980, Reification and the consciousness of the patient, Social Science & Medicine, 14B, 3
  41. Velimirovic, 1984, Traditional medicine is not primary health care, Curare, 7, 61
  42. Worsley, 1982, Non-Western medical systems, Annual Review of Anthropology, 11, 315, 10.1146/annurev.an.11.100182.001531 · DOI
  43. Yang, 1991, Health policy reform in the People's Republic of China, International Journal of Health Services, 21, 481, 10.2190/GGUT-K19W-FHUR-PPLF · DOI
  44. Young, 1982, The anthropologies of illness and sickness, Annual Review of Anthropology, 11, 257, 10.1146/annurev.an.11.100182.001353 · DOI
  45. Young, 1980, A Model of illness treatment decisions in a Tarascan town, American Ethnologist, 7, 106, 10.1525/ae.1980.7.1.02a00070 · DOI
  46. Young, 1989, Impact of the rural reform on financing rural health services in China, Health Policy, 11, 27, 10.1016/0168-8510(89)90053-5 · DOI

Cited by

Sorted by citations

Metadata

Authors
Janes, C. R.
Affiliations
University of Colorado Denver (US)
Corresponding author
Janes, Craig R
ORCID
Janes, Craig R
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
1999-06
Volume
48
Issue
12
Pages
1803-1820
ISSN
0277-9536 (ISSN-L)
DOI
10.1016/s0277-9536(99)00082-9
OpenAlex
W2144245421
Cited by
137
References
0
Citations by year
2026: 3 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 10 · 2021: 8 · 2020: 6 · 2019: 6 · 2018: 2 · 2017: 4 · 2016: 6 · 2015: 5 · 2014: 4 · 2013: 5 · 2012: 5
FWCI
7.62
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Topics
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Health Sciences › Medicine › Complementary and alternative medicine › Traditional Chinese Medicine Studies
  • Social Sciences › Arts and Humanities › History › History of Medicine Studies
Keywords
health transition, global modernity, traditional medicine, Tibetan medicine, indigenous medicine, biomedicalization, health care reform, neoliberalism, chronic disease, mental illness, herbal medicine, epistemology, health policy, Asia
MeSH terms
China, Delivery of Health Care, Developing Countries, Health Policy, Health Services, Indigenous, Medicine, Traditional, Political Systems, Social Change, Technology Transfer, Tibet, Health Transition, History, 20th Century

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review