Zahnärztliche Therapeut*innen als Beispiel für periphere Innovation

                                                                                                                                                                  [Photo: Nhia Moua/unsplash]

Wo staatliche Gesundheitsversorgung nicht garantiert ist, muss das Bestehen einer Grundabdeckung anderweitig sichergestellt werden. Zahnärztliche Therapeut*innen in entlegenen Gegenden sind das Musterbeispiel für die Bereitstellung solcher Dienstleistungen. Was in den 1920er Jahren in Neuseeland begann, findet sich mittlerweile in über 53 Ländern von Australien bis Simbabwe. Doch nicht nur das – die weltweite Verbreitung dieses Berufsfeldes zeigt überdies die erstaunliche Dynamik peripherer Diffusion in einer globalisierten Welt. In gängigen (Imperialismus-) Theorien wird Diffusion normalerweise als Prozess verstanden, der die globalen Machtzentren miteinander verbindet. Die Bewegung der zahnärztlichen Therapeut*innen zeigt allerdings, dass die Verbreitung von Wissen auch entlang der Ränder geschieht und diese vernetzt. In den USA begannen die ersten sechs Dentaltherapeut*innen ihre Arbeit 2004 in Alaska. Mittlerweile gibt es hierzu Gesetzesinitiativen in 10 weiteren Bundesstaaten, und Praktizierende treffen sich regelmäßig auf Konferenzen, um neue Kooperationsplattformen zu schaffen. Ihre Aktivitäten werden durch zahlreiche Stiftungen gefördert, die sich auf die Finanzierung neuer Modelle der Gesundheitsfürsorge spezialisieren und oftmals für die Ausbildung der Therapeut*innen aufkommen. Warum dies klassischen Zahnarztverbänden ein Dorn im Auge ist und dieses relativ neue Berufsfeld ein zweischneidiges Schwert darstellt, können Sie auf Englisch in unserem neuen Blogpost von Luis Aue und Tine Hanrieder lesen.

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Peripheral innovation – the dental therapist movement in the US

                                                                                                                                                                   [Photo: Nhia Moua/unsplash]

Diffusion is known as a process that ties together the centers of the world ever more closely. Once the privatization of water supply made it on the international agenda, privatization soon became a topic in capitals all over the world. Once it becomes the world standard to have a ministry for digital affairs, governments around the world will establish such an organization. Still, there is another and more hidden network of diffusion: diffusion that connects the world’s peripheries – sites of marginalized populations both in the Global South and the Global North. Here, an innovation does not move between the centers of power; it moves between the peripheries forgotten by the centers.

Dental therapists in the US are a case in point of such peripheral diffusion. They deliver basic dental services to underserved populations in peripheries, services that are normally delivered by dentists. Dental therapists work around the world in sites that are considered underserved. The profession was first established for dental services to schoolchildren in New Zealand in the 1920s, following bad health status of recruits. Now, there are dental therapists in 53 countries, from Australia to Zimbabwe. In the US, they were introduced for the first time in Alaskan Native communities. Currently, the dental therapist movement is introducing this profession in peripheries all over the US.

This movement and the spread of dental therapists in the US draw attention to important features of peripheral diffusion in a globalized world.

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Interview: Nitsan Chorev on the politics of global health

In this episode of our interview series, our host Luis Aue talks to Prof. Nitsan Chorev, Harmon Family Professor of Sociology and International and Public Affairs at Brown University.

Listen in, as Chorev gives insight into her research on pharmaceutical production in Africa and the politics of trade, development and foreign aid.

Find a short transcription of the interview below or listen to the full one here:

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Interview: Enrique Beldarraín Chaple on the Cuban Health System and Medical Internationalism

 

 

 

 

 

 

 

 

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Dr Enrique Beldarraín Chaple

In this episode of our interview series, our host Claire Galesne talks to Dr Enrique Beldarraín Chaple, Chief of the research department at the Cuban National Information Centre of Sciences and professor of Public Health and History of Medicine.

Listen in, as Chaple gives insight into why he became a doctor, explains the Cuban health system, and talks about Cuban medical cooperation with other countries.

Find a short transcription of the interview below or listen to the full one here:

Continue reading “Interview: Enrique Beldarraín Chaple on the Cuban Health System and Medical Internationalism”

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