<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-8671</journal-id>
<journal-title><![CDATA[Revista Aportes de la Comunicación y la Cultura]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. aportes de la comunicación]]></abbrev-journal-title>
<issn>2306-8671</issn>
<publisher>
<publisher-name><![CDATA[Universidad Privada de Santa Cruz de la Sierra]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-86712025000200053</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Medical pluralism and primary healthcare decisions in Samaipata, Bolivia]]></article-title>
<article-title xml:lang=""><![CDATA[Pluralismo médico y decisiones sobre la atención primaria de salud en Samaipata, Bolivia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andersson]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Frantzen]]></surname>
<given-names><![CDATA[Jiyoon Anne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mascaret-Rappitsch]]></surname>
<given-names><![CDATA[Simeon]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Shaw]]></surname>
<given-names><![CDATA[Taylor Josette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meilin Wu]]></surname>
<given-names><![CDATA[Erika]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrero Flores]]></surname>
<given-names><![CDATA[Kassandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuba Bruno]]></surname>
<given-names><![CDATA[Juan Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,fbp464@alumni.ku.dk  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,wsk229@alumni.ku.dk  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,hkf819@alumni.ku.dk  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,qvw523@alumni.ku.dk  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,rxk850@alumni.ku.dk  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af6">
<institution><![CDATA[,a2020117762@estudiantes.upsa.edu.bo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af7">
<institution><![CDATA[,a2023210101@estudiantes.upsa.edu.bo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>11</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>11</month>
<year>2025</year>
</pub-date>
<numero>39</numero>
<fpage>53</fpage>
<lpage>64</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S2306-86712025000200053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S2306-86712025000200053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S2306-86712025000200053&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A division between traditional and biomedical practices has historically characterized Bolivia's medical landscape. However, the election of Evo Morales as the country's first indige nous president marked a shift toward addressing these disparities, aiming to integrate traditional and biomedical practices. In this context, a multi-method approach and Pierre Bourdieu's "field theory" were used to examine how these structural processes influence people's primary health care decisions in the city of Samaipata. The study identified two primary ways in which medical pluralism affects primary healthcare decisions: the inadequate health infrastructure and resour ces, and the influence of healthcare practitioners.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El panorama médico de Bolivia ha estado históricamente dividido entre la medicina tra-dicional y las prácticas biomédicas. Sin embargo, la elección de Evo Morales como el primer pre-sidente indígena en la historia del país marcó un cambio para abordar estas disparidades, con el objetivo de integrar las prácticas tradicionales y biomédicas. En este contexto, se utilizó un enfo-que multimetódico y la "teoría de campo" de Pierre Bourdieu para examinar cómo influyen estos procesos estructurales en las decisiones de la población sobre la atención sanitaria primaria en la ciudad de Samaipata. Se encontraron dos formas en las que el pluralismo médico influye en las decisiones de atención primaria: la falta de infraestructura y recursos para la salud y la influencia ejercida por profesionales de la salud.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Health policy]]></kwd>
<kwd lng="en"><![CDATA[cultural diversity]]></kwd>
<kwd lng="en"><![CDATA[wealth]]></kwd>
<kwd lng="en"><![CDATA[cultural identity]]></kwd>
<kwd lng="en"><![CDATA[Bolivia]]></kwd>
<kwd lng="es"><![CDATA[Política de la salud]]></kwd>
<kwd lng="es"><![CDATA[pluralismo cultural]]></kwd>
<kwd lng="es"><![CDATA[riqueza]]></kwd>
<kwd lng="es"><![CDATA[identidad cultural]]></kwd>
<kwd lng="es"><![CDATA[Bolivia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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