Bricolage médical. Savoirs et pratiques des oncologues cambodgiens

This article analyzes the ways in which oncologists practice medicine in Cambodia. It focuses on everyday practices and describes the processes of biomedical adaptation and appropriation, in other words, to describe how physicians adapt their knowledge and skill, by appropriating the tools and resou...

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Autor principal:	Meriem M’zoughi
Formato:	article
Lenguaje:	EN FR
Publicado:	Université de Provence 2021
Materias:	anthropologie médicale Cambodge médecine médecin cancer cancérologie History of Asia DS1-937 Social Sciences H
Acceso en línea:	https://doaj.org/article/c8bea9edc97641e99dfa36b5b817aea2
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spelling	oai:doaj.org-article:c8bea9edc97641e99dfa36b5b817aea22021-12-02T11:35:00ZBricolage médical. Savoirs et pratiques des oncologues cambodgiens1620-32242262-836310.4000/moussons.8102https://doaj.org/article/c8bea9edc97641e99dfa36b5b817aea22021-11-01T00:00:00Zhttp://journals.openedition.org/moussons/8102https://doaj.org/toc/1620-3224https://doaj.org/toc/2262-8363This article analyzes the ways in which oncologists practice medicine in Cambodia. It focuses on everyday practices and describes the processes of biomedical adaptation and appropriation, in other words, to describe how physicians adapt their knowledge and skill, by appropriating the tools and resources at their disposal, in order to treat their patients. I illustrate how Cambodian physicians rely on “evidence-based medicine” (medicine based on randomized clinical trials) to legitimize the validity of their practices. They refer to science—to a “scientific truth” understood as positivist knowledge—by mobilizing statistics from Western medical studies when they must convince patients and their families to undergo treatment. However, these doctors face a certain number of local constraints that lead them to adapt standard treatments. They adjust on a case-by-case basis to “not kill the patient” as they say. Of course, they are confronted with uncertainties related to the deleterious effects of medications and the evolution of the disease. But they must also consider the financial resources of patients. Doctors and users are thus confronted with therapeutic dilemmas that encourage the former to be flexible in their practices. Medicine is based here on a transformation of knowledge resulting from the complex forms of accommodation of medical practice, it is produced by health professionals confronted with empirical realities that are out of step with formal and theoretical knowledge.Meriem M’zoughiUniversité de Provencearticleanthropologie médicaleCambodgemédecinemédecincancercancérologieHistory of AsiaDS1-937Social SciencesHENFRMoussons, Vol 38, Pp 137-165 (2021)
institution	DOAJ
collection	DOAJ
language	EN FR
topic	anthropologie médicale Cambodge médecine médecin cancer cancérologie History of Asia DS1-937 Social Sciences H
spellingShingle	anthropologie médicale Cambodge médecine médecin cancer cancérologie History of Asia DS1-937 Social Sciences H Meriem M’zoughi Bricolage médical. Savoirs et pratiques des oncologues cambodgiens
description	This article analyzes the ways in which oncologists practice medicine in Cambodia. It focuses on everyday practices and describes the processes of biomedical adaptation and appropriation, in other words, to describe how physicians adapt their knowledge and skill, by appropriating the tools and resources at their disposal, in order to treat their patients. I illustrate how Cambodian physicians rely on “evidence-based medicine” (medicine based on randomized clinical trials) to legitimize the validity of their practices. They refer to science—to a “scientific truth” understood as positivist knowledge—by mobilizing statistics from Western medical studies when they must convince patients and their families to undergo treatment. However, these doctors face a certain number of local constraints that lead them to adapt standard treatments. They adjust on a case-by-case basis to “not kill the patient” as they say. Of course, they are confronted with uncertainties related to the deleterious effects of medications and the evolution of the disease. But they must also consider the financial resources of patients. Doctors and users are thus confronted with therapeutic dilemmas that encourage the former to be flexible in their practices. Medicine is based here on a transformation of knowledge resulting from the complex forms of accommodation of medical practice, it is produced by health professionals confronted with empirical realities that are out of step with formal and theoretical knowledge.
format	article
author	Meriem M’zoughi
author_facet	Meriem M’zoughi
author_sort	Meriem M’zoughi
title	Bricolage médical. Savoirs et pratiques des oncologues cambodgiens
title_short	Bricolage médical. Savoirs et pratiques des oncologues cambodgiens
title_full	Bricolage médical. Savoirs et pratiques des oncologues cambodgiens
title_fullStr	Bricolage médical. Savoirs et pratiques des oncologues cambodgiens
title_full_unstemmed	Bricolage médical. Savoirs et pratiques des oncologues cambodgiens
title_sort	bricolage médical. savoirs et pratiques des oncologues cambodgiens
publisher	Université de Provence
publishDate	2021
url	https://doaj.org/article/c8bea9edc97641e99dfa36b5b817aea2
work_keys_str_mv	AT meriemmzoughi bricolagemedicalsavoirsetpratiquesdesoncologuescambodgiens
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Bricolage médical. Savoirs et pratiques des oncologues cambodgiens

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