关键词: Cancer patient inequalities in access to information patient information social inequalities in health

来  源:   DOI:10.4103/jehp.jehp_1620_22   PDF(Pubmed)

Abstract:
BACKGROUND: If in the past the relationship between caregiver and patient was paternalistic based on the principle of protection, the advent of health democracy has made this relationship evolve to build it on the principles of equality and autonomy for the patient. However, this practice leaves something to be desired, given the forms of inequality in access to information that mark the relationship between caregiver and cancer patient.
METHODS: The objective of this qualitative study is to present a sociological view of the process of shaping inequalities in access to information and its determinants. The study took place in the medical prefecture of Meknes, with a target population consisting of cancer patients treated in public and private health establishments. A qualitative content analysis approach using semi-structured interviews was employed.
RESULTS: A diversity of attitudes of the cancer patient with regard to the information, depending on whether the patient is strongly or weakly involved by the health professional in his or her illness or in the care he or she receives. In this case: a) active patient better informed; b) passive patient more or less informed; c) patient in denial who refuses to be informed.
CONCLUSIONS: It seems that the issue of inequality of access to information is not a topical one, and yet it is given little consideration in the policies of the Ministry of Health, particularly in the fight against cancer in Morocco.
摘要:
背景:如果过去护理人员与患者之间的关系是基于保护原则的家长式关系,健康民主的出现使这种关系发展到建立在患者平等和自主的原则之上。然而,这种做法留下了一些需要的东西,考虑到在获得标记护理人员和癌症患者之间关系的信息方面的不平等形式。
方法:这项定性研究的目的是提出一种社会学观点,即在获取信息及其决定因素中形成不平等的过程。这项研究发生在梅克内斯的医疗县,目标人群包括在公共和私人医疗机构接受治疗的癌症患者。采用了半结构化访谈的定性内容分析方法。
结果:癌症患者对信息的态度多种多样,取决于患者是否强烈或微弱地参与了他或她的疾病或他或她接受的护理。在这种情况下:a)主动患者更知情;b)被动患者或多或少知情;c)拒绝知情的患者。
结论:信息获取的不平等问题似乎不是一个话题,然而,卫生部的政策很少考虑到这一点,特别是在摩洛哥与癌症的斗争中。
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