Globalization and medicine in Trinidad.

In a qualitative study of urban Trinidadians who work in the medical industry, the concept of medical globalization was provisionally analysed. Two research questions were addressed: what is globalization, in the context of mainstream medicine, and how is this process manifested in everyday practices? Four fundamental principles of medical globalization emerged from in-depth interviews and analysis of observational materials: (1) the notion of history as an autonomous force with globalization as the latest stage, (2) the expansion of 'Total Market' philosophy as a driving social force, (3) the fragmentation of society into atomistic, self-interested, and competitive individuals, and (4) the adoption of a 'centralised' set of ideals as the normative core necessary for social order. In this paper, findings from this investigation and their implications are discussed. In particular, medical globalization is linked with major themes in medical sociological theory including dualism and medicalization.

How do we talk to each other? Writing qualitative research for quantitative readers.

The growth of qualitative research holds the potential for vastly enriching our understanding of phenomena in the health sciences. However, the potential of this trend is hampered by a widespread inability of quantitative and qualitative researchers to talk to each other. The authors' concern in this area grows out of our experience reviewing small grant applications for the National Institute on Aging, where they frequently find qualitative research proposals scoring worse than do those using quantitative approaches. This article addresses practical problems in communicating qualitative research to readers whose training and experience is primarily quantitative. Two themes running through the discussion are the need for detail and the explicit tying of methodological strategies to research goals.