Gestion des centres de sante communautaires et etat de satisfaction des utilisateurs apres 21 ans d'experience

But: Cette etude visait d'abord a comparer le style de gestion du comite de gestion avec les regles du gouvernement et ensuite a evaluer la satisfaction des utilisateurs a la fois sur le mode de gestion des Centres de Sante Communautaire (CSCom) et les services fournis par ces structures. Materiel et methodes : Une etude transversale descriptive et analytique a ete conduite de Septembre a Octobre 2009 dans 8 CSCom. Elle a concerne 160 chefs de menages et 24 membres des comites de gestion des CSCom. Resultats : Les CSCom visites etaient geres par les populations locales et le style de gestion etait conforme a celui elabore par le gouvernement. Les personnes ayant les plus mauvaises conditions socio-economiques; les personnes agees et les personnes qui ont assiste aux suggere un plus grand soutien du gouvernement concernant le financement et l'affectation des ressources humaines. Conclusion: Meme si un niveau eleve de satisfaction concernant le service fourni a ete observe; les utilisateurs ont signale une certaine insuffisance dans la qualite des soins alors que les gestionnaires ont suggere plus de financement et d'allocation des ressources humaines du gouvernement

Comparative Study of the Primary Healthcare Systems in China and Mali

"Background: Community health centres (CHCs) are an important component of the health system in Mali and China. Despite patient support and commitment from the authorities; the management and the quality of care of these structures need to be improved. This research aimed to compare the management style of the relevant boards with users' satisfaction pertaining to CHC services in Mali and China. Method: Between September 2009-January 2010; a study was conducted in eight CHCs in Mali and in 16 CHCs in China. A total of 480 householders; [60 (Mali) and 320 (China)]; and 24 management committee members (Mali) and 48 management committee members (China) were interviewed. An in-depth interview technique was used on members of the management committee; while a structured interview was carried out to collect data during face-to-face contact with householders in their residences. In residences in which there were two or more households; the first willing householder was interviewed. Questions about the level of satisfaction were coded from 1-5 and ranged from ""excellent"" to ""very bad"" respectively. Results: The CHCs in China were managed by the government; whereas in Mali; they were overseen by the local population. The most satisfied people in both countries were those living in the poorest socioeconomic conditions; the elderly; and those who attended the healthcare meetings. Chinese households were more satisfied with the quality of the CHC services than those in Mali. The Chinese management boards proposed standardisation of rules and more funding; whereas those in Mali advocated that government provide more funding and human resources allocation. Conclusion: A high level of satisfaction regarding the CHC services was observed. However; users reported on deficits in the quality of care; whereas management suggested a need for greater resource allocation"

Comparative Study of the Primary Healthcare Systems in China and Mali

"Background: Community health centres (CHCs) are an important component of the health system in Mali and China. Despite patient support and commitment from the authorities; the management and the quality of care of these structures need to be improved. This research aimed to compare the management style of the relevant boards with users' satisfaction pertaining to CHC services in Mali and China. Method: Between September 2009-January 2010; a study was conducted in eight CHCs in Mali and in 16 CHCs in China. A total of 480 householders; [60 (Mali) and 320 (China)]; and 24 management committee members (Mali) and 48 management committee members (China) were interviewed. An in-depth interview technique was used on members of the management committee; while a structured interview was carried out to ollect data during face-to-face contact with householders in their residences. In residences in which there were two or more households; the first willing householder was interviewed. Questions about the level of satisfaction were coded from 1-5 and ranged from ""excellent"" to ""very bad"" respectively. Results: The CHCs in China were managed by the government; whereas in Mali; they were overseen by the local population. The most satisfied people in both countries were those living in the poorest socioeconomic conditions; the elderly; and those who attended the healthcare meetings. Chinese households were more satisfied with the quality of the CHC services than those in Mali. The Chinese management boards proposed standardisation of rules and more funding; whereas those in Mali advocated that government provide more funding and human resources allocation. Conclusion: A high level of satisfaction regarding the CHC services was observed. However; users reported on deficits in the quality of care; whereas management suggested a need for greater resource allocation."