Tuberculose résistante au Burkina Faso : audit organisationnel et enquête de satisfaction.

IF 0.3 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sante Publique Pub Date : 2024-01-01 DOI:10.3917/spub.242.0097

Ziemlé Clément Méda, Gwladys Sanou Teys, Combary Adjima, Cheick Ahmed Ouattara, Hervé Hien, Bernard Ilboudo, Gueswende Léon Blaise Savadogo

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Abstract

Introduction: Drug-resistant tuberculosis is a public health priority and shortcomings in health services can make matters worse.

Purpose of the research: The aim of the study was to carry out an organizational audit inspired by the accreditation standards of the Agence nationale d’accréditation et d’évaluation en santé (ANAEH) (French National Agency for Health Accreditation and Assessment) for the management of resistant tuberculosis patients and to determine the level of patient satisfaction in order to identify any failings and possible solutions.

Results: The overall audit score was 63.2 percent for the Centre hospitalier universitaire Yalgado Ouédraogo (CHUYO) (Yalgado Ouédraogo University Hospital) and 59.8 percent for the Centre de lutte anti-tuberculose (CLAT) (French Tuberculosis Prevention Center). The problems raised were related to “intake, equipment, and infrastructure,” “patient rights and information,” and “management and administration.” Overall, patients were satisfied with their care. The majority of them noted that the care centers were safe and equipped with toilets that, in addition to improving hygiene, should take account of the specific nature of different illnesses and genders. The patients indicated that their privacy was relatively well respected, but that the quality of the meals provided remains unsatisfactory. Treatment was free, notwithstanding certain paraclinical examinations. Most of the patients and service providers were unaware of the cost of tuberculosis treatment. Non-compliance with treatment, thought to stem from the adverse side effects of anti-tuberculosis drugs, was cited as the main cause of resistance.

Conclusions: A number of operational shortcomings exist in the management of patients with resistant tuberculosis, stemming from unfamiliarity with the treatment protocol. The application of the patient-centered approach could allow for the fight against tuberculosis, especially its resistant form, to be waged more effectively.

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布基纳法索的耐药性结核病：组织审计和满意度调查。

导言：耐药性结核病是公共卫生的一个优先事项，而医疗服务方面的缺陷会使情况变得更糟：研究目的：本研究的目的是根据法国国家卫生认证与评估机构（ANAEH）的认证标准，对耐药性结核病患者的管理进行一次组织审计，并确定患者的满意度，以便找出不足之处和可能的解决方案：亚尔加多-乌阿让戈大学医院（CHUYO）的总体审核得分率为 63.2%，法国结核病预防中心（CLAT）的总体审核得分率为 59.8%。提出的问题涉及：“接收、设备和基础设施”“患者权利和信息”以及“管理和行政”。他们中的大多数人指出，护理中心很安全，并配备了厕所，除了改善卫生条件外，还应考虑到不同疾病和性别的特殊性。病人表示，他们的隐私得到了相对较好的尊重，但膳食质量仍不能令人满意。治疗是免费的，尽管有一些辅助检查。大多数病人和服务提供者都不知道结核病治疗的费用。抗结核药物的副作用被认为是导致耐药性的主要原因：结论：由于不熟悉治疗方案，在管理耐药性结核病患者方面存在许多操作缺陷。采用以病人为中心的方法可以更有效地防治结核病，尤其是抗药性结核病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

0.40

自引率

33.30%

发文量

252

审稿时长

>12 weeks

期刊介绍： La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc