What do we know about patient-provider interactions in sub-Saharan Africa? a scoping review.
Patient-centred care
patient-provider interaction
scoping review
sub-Saharan Africa
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2020
2020
Historique:
received:
04
06
2020
accepted:
17
06
2020
entrez:
27
11
2020
pubmed:
28
11
2020
medline:
16
1
2021
Statut:
epublish
Résumé
patient-centred care has become a rallying call for improving quality and access to care in countries where health system responsiveness and satisfaction with health services remain low. Understanding patient-provider interactions is important to guide implementation of an effective patient-centred care approach in sub-Saharan Africa. This review aims to overcome this knowledge gap by synthesizing the evidence on patient-provider interactions in sub-Saharan Africa. we conducted a scoping review using Arksey and O´Malley´s framework. We searched in eight databases and the grey literature. We conducted a thematic analysis using an inductive approach to assess the studies. of the 80 references identified through database searching, nine met the inclusion criteria. Poor communication and several types of mistreatment (service denial, oppressive language, harsh words and rough examination) characterize patient-provider interactions in sub-Saharan Africa. Nevertheless, some health providers offer support to patients who cannot afford their medical expenses, cost of transportation, food or other necessities. Maintaining confidentiality depends on the context of care. Some patients blamed health providers for consulting with the door open or carrying out concomitant activities in the consultation room. However, in the context of HIV care provision, nurses emphasized the importance of keeping their patients´ HIV status confidential. this review advocates for more implementation studies on patient-provider interactions in sub-Saharan Africa so as to inform policies and practices for patient-centred health systems. Decision-makers should prioritize training, mentorship and regular supportive supervision of health providers to provide patient-centred care. Patients should be empowered in care processes.
Identifiants
pubmed: 33244351
doi: 10.11604/pamj.2020.37.88.24009
pii: PAMJ-37-88
pmc: PMC7680249
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
88Informations de copyright
Copyright: Bienvenu Salim Camara et al.
Déclaration de conflit d'intérêts
The authors declare no competing interests.
Références
Afr J Prim Health Care Fam Med. 2018 Apr 16;10(1):e1-e11
pubmed: 29781688
AIDS Behav. 2016 Nov;20(11):2662-2673
pubmed: 26873491
Int J Qual Health Care. 2011 Oct;23(5):531-7
pubmed: 21862449
Int J Equity Health. 2016 Jun 14;15:92
pubmed: 27301658
Midwifery. 2018 Jul;62:256-263
pubmed: 29730166
Int J Nurs Stud. 2013 Aug;50(8):1045-53
pubmed: 23273536
Zdr Varst. 2015 Dec 16;55(1):86-95
pubmed: 27647093
J Health Commun. 2018;23(2):129-143
pubmed: 29281593
Reprod Health. 2017 Jan 11;14(1):3
pubmed: 28077145
Int J Gynaecol Obstet. 2017 Jan;136(1):13-18
pubmed: 28099713
AIDS Care. 2012;24(6):680-6
pubmed: 22103696
BMJ Open. 2017 Jul 2;7(6):e014888
pubmed: 28674138
Nurs Forum. 2012 Jul-Sep;47(3):153-65
pubmed: 22861652
BMJ. 2015 Feb 10;350:h530
pubmed: 25670197
PLoS Med. 2015 Jun 30;12(6):e1001847; discussion e1001847
pubmed: 26126110
PLoS One. 2014 Sep 02;9(9):e106325
pubmed: 25180575
Soc Sci Med. 2000 Oct;51(7):1087-110
pubmed: 11005395
BMC Health Serv Res. 2017 Jun 13;17(1):403
pubmed: 28610626
PLoS One. 2017 Mar 21;12(3):e0174084
pubmed: 28323860
Health Care Women Int. 2014 Feb;35(2):175-99
pubmed: 23998760
Afr J Reprod Health. 2013 Dec;17(4 Spec No):118-29
pubmed: 24689323
J Health Serv Res Policy. 2005 Jul;10 Suppl 1:6-20
pubmed: 16053580
Int J Equity Health. 2011 Nov 10;10:48
pubmed: 22074349