Health care switching behaviour of malaria patients in a Kenyan rural community
Health care switching behaviour of malaria patients in a Kenyan rural community
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DOI：
10.1016/s0277-9536(01)00036-3
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发表时间：
2002-02-01
影响因子：
5.4
通讯作者：
Nyamongo, IK
中科院分区：
文献类型：
--
作者：
Nyamongo, IK
患者通常使用多种医疗保健来源。这项研究揭示了肯尼亚古西农村地区的病人在寻找对抗疟疾的替代方案时可能会超越宅基地。疟疾是该区域一个非常普遍的健康问题，造成巨大的人员和经济损失。在10个月的时间内收集了有关寻求医疗保健行为的数据。本文的主要数据来自对35名成年人（18名女性和17名男性）进行的以疟疾为重点的民族志访谈。结果表明，患者更有可能在家里开始自我治疗，因为他们等待一段时间，在此期间，他们观察他们的进展。这使他们能够最大限度地减少因疾病而产生的支出。在随后的决定中，他们更有可能选择家庭以外的治疗。这些决定包括去看私人保健医生、政府保健中心或在情况危急时去医院。疾病的知识和持续时间、预期的治疗费用以及患者对疾病严重程度的判断决定了他们对治疗的选择。(C)2002爱思唯尔科技有限公司版权所有。
Patients ordinarily use multiple sources of health care. This study reveals the transitions patients in a rural region of Gusii, Kenya are likely to make beyond the homestead in their search for alternatives to combat malaria. Malaria is a very common health problem in the region resulting in enormous human and economic losses. Data on health care seeking behaviour were collected over a 10-month period. The primary data for this paper is From malaria-focused ethnographic interviews with 35 adults (18 women and 17 men). Results show that patients are more likely to start with self-treatment at home as they wait for a time during which they observe their progress. This allows them to minimise expenditure incurred as a result of the sickness. They are more likely to choose treatments available outside the home during subsequent decisions. The decisions include visiting a private health care practitioner, a government health centre or going to a hospital when the situation gets desperate. Knowledge and duration of sickness, the anticipated cost of treatment, and a patient's judgement of the intensity of sickness determine their choice of treatment. (C) 2002 Elsevier Science Ltd. All rights reserved.