What does quality mean to lay people ? Community perceptions of primary health care services in Guinea.
The success of strategies to revitalize primary health care services such as those advocated by the Bamako Initiative requires a response adapted to the expectations of the population, especially in terms of quality.
The goal of this study, conducted in two rural communities in Guinea, was to identify, characterize, and classify the criteria that the public uses to judge the quality of primary health care (PHC) services.
This study included 180 participants in 21 focus group discussions.
Forty-four main criteria were identified.
These criteria vary depending on the respondents'sex and age, and their ability to access primary health care services, Some of the criteria correspond to those used by health care providers, while others do not.
The general public places considerable emphasis on outcomes, but little emphasis on preventive services.
The users appear very sensitive to aspects of the interpersonal relations they have with professionals and the technical quality of the care provided.
A taxonomy of perceived quality is developed, which includes the following five categories :
(I) technical competence of the health care personnel ;
(2) interpersonal relations between the patients and care providers ;
(3) availability and adequacy of resources and services ;
(4) accessibility and (5) effectiveness of care.
It is a major challenge to refocus on quality in the development of health care services. (...)
Mots-clés Pascal : Service santé, Soin santé primaire, Qualité, Perception sociale, Critère qualité, Utilisation, Guinée, Afrique, Pays en développement, Milieu rural, Homme
Mots-clés Pascal anglais : Health service, Primary health care, Quality, Social perception, Quality criterion, Use, Guinea, Africa, Developing countries, Rural environment, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0386582
Code Inist : 002B30A01C. Création : 25/01/1999.