Suchergebnisse

This article examines the concrete travel work that enables the global transport of Fast-Track Surgery (FTS), a set of evidence-based, standardized protocols and guide-lines for perioperative recovery. Having ethnographically followed FTS training for medical staff from provincial hospitals in China's Gansu province at a local hospital in Denmark, I show how FTS is made transportable through interactions between Chinese and Danish healthcare professionals in a series of workshops, meetings and educational activities. I argue that the transportability of a health-promoting infrastructure like FTS is neither a matter of technology transfer nor of evidence as such. Rather, it requires a specific kind of travel work in the form of traveling comparisons as a constant two- way dynamic between hospital settings in Denmark and China ; This article examines the concrete travel work that enables the global transport of Fast-Track Surgery (FTS), a set of evidence-based, standardized protocols and guidelines for perioperative recovery. Having ethnographically followed FTS training for medical staff from provincial hospitals in China's Gansu province at a local hospital in Denmark, I show how FTS is made transportable through interactions between Chinese and Danish healthcare professionals in a series of workshops, meetings and educational activities. I argue that the transportability of a health-promoting infrastructure like FTS is neither a matter of technology transfer nor of evidence as such. Rather, it requires a specific kind of travel work in the form of traveling comparisons as a constant two-way dynamic between hospital settings in Denmark and China.

Med udgangspunkt i tre personers sygdomsfortællinger handler denne artikel om mennesker med diabetiske fodsår ud fra et patientperspektiv med særligt fokus på de måder, hvorpå sygdom, normalitet og egenomsorg fremstår som en palet af valgmuligheder, den enkelte patient må forholde sig til og handle ud fra. Formålet er at vise, hvordan bestemte opfattelser af diabetes som en sygdom, der relativt let kan reguleres og derfor tillader diabetikeren af leve et næsten normalt liv, får konsekvenser for udvikling og behandling af fodsår. Analysen er inspireret dels af antropologiske studier af diabetespatienter, som netop har påpeget denne særlige normalitetsdiskurs, hvor dét at være en person med diabetes ikke nødvendigvis associeres med at være syg, dels af den hollandske filosof og samfundsforsker Annemarie Mols begreber om valgfrihedens logik og omsorgens logik, som sætter spørgsmålstegn ved det hensigtsmæssige i at påføre individet øget ansvar for egen sygdom. I den forbindelse ønsker vi at pege på personer med diabetiske fodsår som en gruppe af særligt sårbare patienter, der har behov for både omsorg og valgfrihed.