Le rôle de l'entourage au sein de l'hôpital africain : une thématique négligée ?

Schnitzler, Marie

doi:10.3917/sss.321.0039

Cited by 12 publications

(2 citation statements)

References 18 publications

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“…One issue, discussed in the findings section, was the practice of patients, and/or their families, providing 'gifts' to individual healthcare providers in an attempt to receive better services. This practice can be understood in a society where the anonymous patient does not get the attention they need, and has been well-studied for a long time in the region, 8,32,43 and in Mali, in particular. 44,45 While further, careful examination from a socio-cultural perspective is required, the practice could affect equitable access to healthcare services in that those who can afford to provide better gifts may have access to better services.…”

Section: Equity In Access To Covid-19 Servicesmentioning

confidence: 99%

Financial issues in times of a COVID‐19 pandemic in a tertiary hospital in Mali

Ridde

Coulibaly

Touré

et al. 2023

Health Planning & Management

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BackgroundThis study examines how the functioning of healthcare providers during the COVID‐19 pandemic was affected by the government financing response, which was shaped by existing healthcare financing systems.MethodsThe study applied a single case study design at a tertiary hospital in Bamako during the 1st and 2nd waves of the COVID‐19 pandemic. Data were gathered through 51 in‐depth interviews with hospital staff, participatory observation, and reviewing media articles and hospital financial records.ResultsThe study revealed the disruptions experienced by hospital managers, human resources for health and patients in Mali during the early stages of the pandemic. While the government aimed to support universal access to COVID‐19‐related services, efforts were undermined by issues associated with complex public financing management procedures. The hospital experienced long delays in transferring government funds. The hospital suffered a decrease in revenue during the early stages of the pandemic. Government budgets were not effectively used because of complex, non‐agile procedures that could not adapt to the emergency. The challenges faced by the hospitals led to the delays in the staff payments of salaries and promised bonuses, which created potential for unfair treatment of patients. Excluding some COVID‐19 related items from the government funded benefit package created a financial burden on people receiving services. The managerial challenges experienced in the study hospital during the first wave continued in the second wave.ConclusionsPre‐existent issues in healthcare financing and governance constrained the effective management of COVID‐19‐related services and created confusion at the front line of healthcare service delivery.

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Section: Equity In Access To Covid-19 Servicesmentioning

confidence: 99%

Financial issues in times of a COVID‐19 pandemic in a tertiary hospital in Mali

Ridde

Coulibaly

Touré

et al. 2023

Health Planning & Management

View full text Add to dashboard Cite

show abstract

“…Il traite de l'informatisation des unités de soins et de ses enjeux internes au groupe professionnel et vis-à-vis des autres groupes. Le deuxième article étudie les tâches effectuées par l'entourage des malades -des « gardes-malades » -dans un hôpital au Bénin et invite à renouveler les études de la relation thérapeutique en se penchant sur le rôle de ces types d'intermédiaires (Schnitzler, 2014). Dans le troisième article, Isabelle Gobatto et François Lafaye (2007) s'intéressent aux réorganisations du travail nécessaires pour que les professionnels de santé en Côte d'Ivoire déploient des actions de prévention afin d'éviter la transmission du VIH des mères vers leurs enfants.…”

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