PMID- 24248995
OWN - NLM
STAT- MEDLINE
DCOM- 20140218
LR  - 20131119
IS  - 0745-5194 (Print)
IS  - 0745-5194 (Linking)
VI  - 27
IP  - 3
DP  - 2013 Sep
TI  - Trading legitimacy: everyday corruption and its consequences for medical 
      regulation in southern Vietnam.
PG  - 453-70
LID - 10.1111/maq.12052 [doi]
AB  - Government regulation of health professionals is believed to ensure the efficacy 
      and expertise of practitioners for and on behalf of patients. Certification and 
      licensing are two common means to do so, legalizing a physician to practice 
      medicine. However, ethnography from Ho Chi Minh City (HCMC) suggests that in 
      corrupt socioeconomic environments, certification and licensing can alternatively 
      produce a trade in legitimacy. Drawing on participant observations during 15 
      months of fieldwork with 25 medical acupuncturists in private practice in HCMC, 
      southern Vietnam, and their patients, I argue that everyday practices of 
      corruption and the importance of personal networks meant that legality, efficacy, 
      and expertise separated. Certificates and licenses did not unproblematically 
      validate expertise and efficacy. Consequently, compliance and enforcement of 
      regulations as solutions to inadequate medical care may not achieve the effects 
      intended.
CI  - (c) 2013 by the American Anthropological Association.
FAU - Le, Gillian
AU  - Le G
AD  - Nuffield Centre for International Health and Development, University of Leeds.
LA  - eng
PT  - Journal Article
DEP - 20131008
PL  - United States
TA  - Med Anthropol Q
JT  - Medical anthropology quarterly
JID - 8405037
SB  - IM
MH  - Acupuncture/education/legislation & jurisprudence
MH  - *Certification
MH  - Delivery of Health Care/*legislation & jurisprudence
MH  - Humans
MH  - *Licensure
MH  - Research Design
MH  - *Social Problems
MH  - Vietnam
OTO - NOTNLM
OT  - corruption
OT  - medical regulation
OT  - southern Vietnam
EDAT- 2013/11/20 06:00
MHDA- 2014/02/19 06:00
CRDT- 2013/11/20 06:00
PHST- 2013/11/20 06:00 [entrez]
PHST- 2013/11/20 06:00 [pubmed]
PHST- 2014/02/19 06:00 [medline]
AID - 10.1111/maq.12052 [doi]
PST - ppublish
SO  - Med Anthropol Q. 2013 Sep;27(3):453-70. doi: 10.1111/maq.12052. Epub 2013 Oct 8.