Patient′s utilization and perception of the quality of curative care in community health centers of the fifth commune of Bamako

Abstract

Background:Community health centers are an important component of the health system in Mali. Despite the adhesion of the populations and the commitment of the authorities, many things must be done to improve the quality of care provided in those structures.Objectives:The study aimed to know the patients’ utilization and perception of the curative care in the community health centers of Bamako and the physicians’ satisfaction of their work condition and perspective in the community health sector.Materials and Methods:A cross-sectional study was conducted in nine community health centers of Bamako in 2008. A total of 270 patients were interviewed through a face-to-face interview. Thirteen physicians took a self-administrated questionnaire relating to their material and financial conditions and their plan for the future.Results:The sample was characterized by the low literacy (32.6%) and socio-economic level (15.9% of steady income).139 patients claimed the nearness as the reason of the choice of the health center whereas only 51 claimed the health staff skill. The women felt more satisfied than men (P=0.005) and illiterates felt more satisfied than bachelors and beyond (P=0.034). The patients claimed the reduction of waiting time, the improvement of information and the creation of news services. 30.80% of physicians were satisfied from their material and financial conditions, 38.46% were motivated and 76.92% planned to leave their health center.Conclusion:Although a high level of satisfaction regarding the provided service was observed, user reported some shortage in the quality of care and claimed a widening of CSCom capability.

Community health workers in rural India: analysing the opportunities and challenges Accredited Social Health Activists (ASHAs) face in realising their multiple roles

“…Our findings also confirm a range of barriers to community health workers realising their role identified in the broader literature including individual mistrust, the strong tradition of home delivery and poor attitudes of service providers [ 6 , 40 , 41 ]. These barriers impact on the ASHA programme’s capacity to improve health outcomes in rural Manipur.…”

“…These barriers impact on the ASHA programme’s capacity to improve health outcomes in rural Manipur. Evidence indicates that users’ perceptions of health services and providers’ behaviour [ 42 ], respect for privacy and short waiting times [ 39 ], availability of drugs and staff competence [ 41 ] are all important determinants for accessing services. In addition, literature also acknowledges that there are challenges in delivery of health care in a conflict setting as lack of security, shortage of skilled health professionals due to migration and harassment from security personnel and non-state armed groups hinder both providers and users in providing and seeking care [ 43 , 44 ].…”

Factors associated with job satisfaction among commune health workers: implications for human resource policies

“…Job satisfaction highly correlates with the retention of health workers in different levels of the health system (5, 11–13). Moreover, satisfied health workers also contribute to higher quality and better outcome of health services (5, 6, 14–16). Although measurements of job satisfaction may impact services management and human resource policy development, little is known about job satisfaction among Vietnamese commune health workers.…”

Inpatients’ Perception of Doctors’ Attitude towards the Management of Their ill Health in a Nigerian University Teaching Hospital

“…patient's satisfaction has long been considered as an important component when measuring health outcome and quality of care. 3 A satisfied patient is more likely to develop a deeper and longer lasting relationship with their medical provider, leading to improved compliance, continuity of care and ultimately better health outcome. 3 Recent advances in healthcare management regard patients as customers, whose expectations have to be met by the quality standards imposed by the hospital.…”

“…3 A satisfied patient is more likely to develop a deeper and longer lasting relationship with their medical provider, leading to improved compliance, continuity of care and ultimately better health outcome. 3 Recent advances in healthcare management regard patients as customers, whose expectations have to be met by the quality standards imposed by the hospital. According to Walters and Jones, the healthcare sector is a market, which shares some of the characteristics of the business markets.…”