| Titre : | What do sequential behavioral patterns suggest about the medical decision-making process ? Modeling home case management of acute illnesses in a rural Cameroonian village. (1998) |
| Auteurs : | G.W. RYAN |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 46, n° 2, 1998) |
| Pagination : | 209-225 |
| Langues: | Anglais |
| Mots-clés : | Malade ; Thérapeutique ; Comportement ; Etat santé ; Modèle ; Milieu rural ; Cameroun ; Afrique ; Utilisation ; Utilisation service ; Médecine traditionnelle ; Homme |
| Résumé : | [BDSP. Notice produite par INIST 7R0xBIPJ. Diffusion soumise à autorisation]. It is well recognized that much of the world's medical care is in the hands of laypeople. In pluralistic medical settings, laypeople choose what to do first, second, third, and fourth from a variety of treatment options. In retrospect, laypeople's choices can be represented as an ordered series of health-related behaviors. A systematic analysis of such sequential data provides insights into caregivers'patterns of resort and suggests a tentative theory for how laypeople make medical choices. This study examines sequences of health-related behaviors from a small, Kom-speaking village in Cameroon. Local residents consider seven health actions, including : delaying initial treatment, using various home remedies or pharmaceuticals, going to a government clinic or a Catholic hospital, and consulting a private nurse or a traditional healer. Researchers visited 88 randomly selected compounds on a weekly basis over a 5-month period. Data were collected on the treatments associated with 429 nonchronic episodes. Analysis of the treatment sequences suggests that residents customarily use delay of treatments as a tactic in the decision-making process. Caregivers were more likely to use home-based treatments and to use them earlier in the treatment sequences than they were to seek treatment from outside the compound. When seeking assistance, caregivers often used traditional healers as a conduit to other outside options. (...) |
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