It is well recognized that much of the world's medical care is in the hands of laypeople.
In pluralistic medical settings, laypeople choose what to do first, second, third, and fourth from a variety of treatment options.
In retrospect, laypeople's choices can be represented as an ordered series of health-related behaviors.
A systematic analysis of such sequential data provides insights into caregivers'patterns of resort and suggests a tentative theory for how laypeople make medical choices.
This study examines sequences of health-related behaviors from a small, Kom-speaking village in Cameroon.
Local residents consider seven health actions, including : delaying initial treatment, using various home remedies or pharmaceuticals, going to a government clinic or a Catholic hospital, and consulting a private nurse or a traditional healer.
Researchers visited 88 randomly selected compounds on a weekly basis over a 5-month period.
Data were collected on the treatments associated with 429 nonchronic episodes.
Analysis of the treatment sequences suggests that residents customarily use delay of treatments as a tactic in the decision-making process.
Caregivers were more likely to use home-based treatments and to use them earlier in the treatment sequences than they were to seek treatment from outside the compound.
When seeking assistance, caregivers often used traditional healers as a conduit to other outside options. (...)
Mots-clés Pascal : Malade, Aidant, Prise décision, Demande thérapeutique, Traitement, Comportement, Santé, Choix, Modèle, Milieu rural, Cameroun, Afrique, Utilisation, Service santé, Médecine traditionnelle, Médecine occidentale, Homme
Mots-clés Pascal anglais : Patient, Caregiver, Decision making, Therapeutical request, Treatment, Behavior, Health, Choice, Models, Rural environment, Cameroon, Africa, Use, Health service, Folk medicine, Western medicine, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0112091
Code Inist : 002B30A11. Création : 22/06/1998.