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The Perception of Health Workers and Stakeholders Involved in the Process of Selecting Indigent in Burkina Faso

Health 2020年第9期12卷 1169-1185页

作者： Sidibe Souleymane godin isabelle Ilboudo Bernard Drabo K. Maxime Health Science Training and Research Unit University I Professor Joseph Ky Zerbo Ouagadougou Burkina Faso Social Approaches to Health Research Center ULB Bruxelles Belgium National Institute of Public Health Center Ouagadougou Burkina Faso Health Science Training and Research Unit Health Science Research Institute CNRST University I Professor Joseph Ky Zerbo Ouagadougou Burkina Faso

Background: Indigent selected for their health care is complex and poses enormous challenges. The actors involved have an influence on health actions and their perception is decisive for better care for the indigent. Little evidence exists on these perceptions and this paper has captured this. Methods: A case study involved 163 participants with a questionnaire and an interview guide. The quantitative responses were classified according to a measurement scale, proportions and overall indices of perception (Ip) and satisfaction (CSAT) were calculated. The relationship between variables was investigated using chi-square. Thematic analysis was used with qualitative data. The study met ethical requirements. Results: The participants had a positive perception of the selection: Ip = 0.77, but a minority (1/5) were dissatisfied with the selection. The perception of selection did not differ significantly depending on the experience of the actors. For the vast majority, the definition of indigent was satisfactory (CSAT = 91.4). The selection was done in a top down fashion and steps such as setting up committees, informing stakeholders, had shortcomings which negatively impacted the effectiveness of the selection. The needs of the participants included transparency in the indigent select process, matching the tools for selecting the indigent to the context, strengthening of local action, deconstruction of prejudices in terms of the indigent, power of actors to act, and importance for health services to reach out to the indigent. Conclusion: Consider

关键词： Perception Community Selection Indigents Health Workers Actors Involved Burkina Faso

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Influence of Proxies on the Reported Frequency of Falls, Fear of Falling and Activity Restriction in Older People

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Health 2014年第12期6卷 1512-1521页

作者： Elise Mendes da Costa isabelle godin Thierry Pepersack Michèle Dramaix Yves Coppieters Martine Bantuelle Alain Levêque Educa-Santé Non-Profit Organisation Charleroi Belgium Geriatrics Erasme University Hospital Université Libre de Bruxelles (U.L.B.) Bruxelles Belgium Research Centre in Epidemiology Biostatistics and Clinical Research School of Public Health Université Libre de Bruxelles (U.L.B.) Bruxelles Belgium Research Centre in Social Approaches to Health School of Public Health Université Libre de Bruxelles (U.L.B.) Bruxelles Belgium

Introduction: In older populations, the help of a third person may be necessary for a certain number of individuals in order to fill in questionnaires. The influence of this assistance on the collected information can raise questions, among others concerning the concordance between the information provided by the persons themselves and by their proxies, or the introduction of a potential bias. Our study’s objective is to examine, among older people, the differences in the reported frequency of falls, fear of falling and activity restriction due to fear of falling, according to the fact that people had filled in a questionnaire with or without the help of a third person. Methods: The data used come from the secondary analysis of a cross-sectional survey using a self-administered questionnaire and conducted in 2006 in a Belgian semi-rural town among non-institutionalised persons aged 65 years and over. Results: Among the 501 questionnaires, 16.4% were filled in with the help of another person. In bivariate analysis, the persons who needed help reported fall history, fear of falling and activity restriction significantly more often. In multivariable analysis, when considering concurrently the covariates (sex, age, living alone and fall history for fear of falling and for activity restriction), the influence of having received help to fill in the survey was only significant for activity restriction. Conclusion: Our study shows that it is important to know whether or not a person has received help to fill in a questionnaire. This can actually influence the reported frequency of certain outcomes, even, for activity restriction, when considering simultaneously the effect of other covariates. Given the current and future ageing of our populations, it seems that more extensive exploration is needed of the influence of proxies on the collected information about falls, fear of falling and activity restriction among older people.

关键词： Accidental Falls Fear of Falling Activity Restriction Proxies Older People

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