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Accepted Paper:
The anthropology of health systems: a history and review
Svea Closser
(Johns Hopkins University)
Judith Justice
(University of California at San Francisco)
Emily Mendenhall
(School of Foreign Service, Georgetown University)
Peter Brown
(Emory University)
Rachel Neill
(Johns Hopkins Bloomberg School of Public Health)
Ethnographies of health systems form a theoretically rich and rapidly growing area within medical anthropology. We review work in this space from the 1950s to the present, and provide thoughts on how to move this field forward.
Paper long abstract:
Ethnographies of health systems are a theoretically rich and rapidly growing area within medical anthropology. Critical ethnographic work dating back to the 1950s has taken policymakers and health staff as points of entry into the power structures that run through the global health enterprise. In the last decade, there has been a surge of ethnographic work on health systems. We conceptualize the anthropology of health systems as a field; review the history of this body of knowledge; and outline emergent literatures on policymaking, HIV, hospitals, Community Health Workers, health markets, pharmaceuticals, and metrics.
High-quality ethnographic work is an excellent way to understand the complex systems that shape health outcomes, and provides a critical vantage point for thinking about global health policy and systems. As theory in this space develops and deepens, we argue that anthropologists should look beyond the discipline to think through what their work does and why it matters.