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Plan de paiement anticipe des soins de sante de Bwamanda (Zaire) comment a-t-il ete mis en place?

Listed author(s):
  • Ilunga, Tshinko B.
  • Contandriopoulos, Andre-Pierre
  • Fournier, Pierre
Registered author(s):

    Résumé Cet article explique comment le plan de paiement anticipé des soins de santé de Bwamanda (Zaïre) a permis le maintien d'un niveau d'affiliation suffisant pour le bon fonctionnement de l'hôpital de la zone (District) de santé. Il a été rédigé à la suite d'une étude de cas réalisée en 1990 à Bwamanda. Les données de l'étude proviennent d'entrevues et d'une enquête sur les ménages. Les résultats démontrent que les déterminants de la participation à ce plan peuvent être regroupés en trois catégories: (1) les facteurs de prédisposition qui comprennent la tradition d'utilisation de l'hôpital, la tradition locale d'entraide, l'ouverture d'esprit de la population et sa confiance en l'organisateur du plan; (2) les facteurs facilitateurs qui englobent la capacité d'administer une politique d'affiliation attrayante, l'existence d'institutions locales, la sensibilisation de la population et des conditions économiques propices; et (3) un facteur de renforcement qui est l'expérience d'hospitalisation vécue par les membres du plan. Les résultats démontrent également que les déterminants du revenu utilisé pour financer l'hôpital sont: (i) la détermination du montant de la prime; (ii) les possibilités de placement; et (iii) l'utilisation de la prime collectée.

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    File URL: http://www.sciencedirect.com/science/article/pii/0277-9536(94)00173-Q
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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 40 (1995)
    Issue (Month): 8 (April)
    Pages: 1041-1052

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    Handle: RePEc:eee:socmed:v:40:y:1995:i:8:p:1041-1052
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