logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. The behaviour of health workers in an era of cost sharing : Ghana's drug cash and carry system.

    Article - En anglais

    This qualitative study aimed to assess possible changes in prescription patterns and resultant implications for the quality of care delivered in three southern districts of Ghana after the introduction of a full cost recovery scheme for drugs in 1992.

    While the availability of safe and effective drugs has improved especially in rural areas, not all patients are able to meet the cost for required medication.

    This has influenced the behaviour of most prescribers, who now take economical limitations into account.

    As a result, poorer patients may either take fewer drugs or smaller quantities than medically indicated, with possible ensuing consequences for public health.

    Overall, the cash-and-carry scheme does not appear to have changed health workers'attitudes towards patients ; where such behavioural changes occurred they seemed to be due to personnel shortages.

    Generally, patients in rural facilities reported greater satisfaction with the care they received than urban residents ; and medical assistants were perceived as friendlier than both nurses and doctors.

    Mots-clés Pascal : Partage, Coût, Comportement, Agent santé, Changement, Prescription médicale, Qualité, Soin, Ghana, Afrique

    Mots-clés Pascal anglais : Sharing, Costs, Behavior, Health worker, Change, Medical prescription, Quality, Care, Ghana, Africa

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0455471

    Code Inist : 002B30A04B. Création : 22/03/2000.