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

Schnitzler, Marie

doi:10.1684/sss.2014.0103

Cited by 4 publications

(3 citation statements)

References 15 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: Discussionmentioning

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: Discussionmentioning

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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“…The importance of family caregivers, especially during consultations, was also highlighted by Fanzang in French oncology patients 14 . However the presence of the family caregivers can be constraining of stressful 15 . In our study only one diabetic patient related a situation where his daughter who accompanied him misbehaved towards him.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Diabetic Patients ‘Perception of Their Relationship with Family Caregiver and Health-Care Providers: A Qualitative Study in the Diabetes Centre of the National Public Health Institute of Côte d’Ivoire

Yacé¹,

Kourouma²,

Kamelan³

et al. 2018

IJCRR

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Objective: This study aimed to investigate diabetic patients' perceptions of their relationship with healthcare providers and family caregivers. Methods: This qualitative study using semi-structured questionnaires was performed from February to April 2018, in the Diabetes Centre of the National Public Health Institute. Data were subject to thematic analysis. Data saturation was reached after 49 interviews. Results: the majority of the patients reported having good relationship with family caregivers and the healthcare team; actors they consider important in the management of their diabetes. The main factors that can improve the involvement of the couple patients/family caregivers were: good reception, more information and diabetes education, short waiting time. Conclusion: family caregiver, diabetic patient and healthcare provider relationship is a necessary social dynamic for the diabetic patient: the keystone of the quality of care. It is important to make further for better decision-making in order to implement of a true winning partnership between patient, family caregiver and healthcare provider.

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“…Ces accompagnants font office d'aides-soignants, s'occupant de la toilette des malades, des repas, des lits, administrant les traitements. Pourtant, ces acteurs au coeur du fonctionnement des structures de soins en Afrique restent méconnus (Schnitzler, 2014). Si la nécessité de leur présence auprès des patients est admise, les services hospitaliers ne prévoient pas de structures pour les accueillir.…”

Section: L'entourage Encombre L'espace Alourdit Les Circuits : Tensionsunclassified

En Afrique, la matérialité du soin au coeur des tensions soignants-soignés ?

Tantchou¹

2017

Sciences Sociales Et Santé

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Le soin en Afrique a fait l'objet de nombreuses études de sciences sociales. Malgré la richesse des travaux existants sur ce sujet, un point reste insuffisamment analysé : la matérialité du travail des soignants et son impact sur les relations entre soignants et soignés. C'est ce point qui est analysé dans cet article. En nous inspirant des travaux de Lussault, d'une part, et de ceux d'Akrich, d'autre part, nous suggérons que, en sus d'autres facteurs pointés par la littérature existante, les tensions entre soignants et soignés sont la conséquence d'une adaptation incessante de l'espace aux activités courantes, de la volonté d'avoir une certaine emprise sur ces activités en anticipant les discontinuités qui pourraient survenir, et, enfin, de la fatigue résultant de ce travail permanent d'adaptation et d'anticipation.

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

Cited by 4 publications

References 15 publications

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

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

Diabetic Patients ‘Perception of Their Relationship with Family Caregiver and Health-Care Providers: A Qualitative Study in the Diabetes Centre of the National Public Health Institute of Côte d’Ivoire

En Afrique, la matérialité du soin au coeur des tensions soignants-soignés ?

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