Les médecins prestataires à la première ligne des soins dans la ville de Kisangani en République Démocratique du Congo : vers une typologie
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Les médecins prestataires à la première ligne des soins dans la ville de Kisangani en République Démocratique du Congo : vers une typologie | |
| Creator | Bosongo, Samuel I. Mukalenge, Faustin C. Tambwe, Albert M. Criel, Bart | |
| Description | The first-line physicians’ practice in Kisangani city in Democratic Republic of Congo: Towards a typology.Background: In the Democratic Republic of the Congo (DRC), for a number of years, there has been a spontaneous and growing phenomenon of physicians operating at the front line of the health system, while this role is traditionally devolved to nurse-practitioners. This phenomenon does not align with the current health policy.Aim: The aim of this paper is to develop and discuss the main types of frontline physicians in the city of Kisangani.Setting: We conducted a descriptive cross-sectional study in two urban districts in the city of Kisangani.Methods: The study population consisted of all first-line health facilities that employed at least one physician. The construction of a typology of first-line physicians consisted of three stages: identification and definition of relevant dimensions of analysis; grouping cases based on empirical data; and analysis of significant relationships and establishment of the typology itself.Results: An involvement of physicians in healthcare delivery at the first line was observed in 60% of all first line facilities in the two urban districts. Two main types of first-line physicians were identified: firstly, and by large the most prevalent one (96% of cases), the ‘hospital-like physician’, and secondly, the much less frequent type of the ‘supervision physician’.Conclusion: The involvement of physicians in first line healthcare is today a growing phenomenon in the DRC, especially in urban areas. The most dominant expression of this phenomenon is a transposition of the hospital-based physician model to the first line healthcare services, which thereby jeopardizing the specificity of first line healthcare. | |
| Publisher | AOSIS | |
| Date | 2021-09-06 | |
| Identifier | 10.4102/phcfm.v13i1.2617 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 13, No 1 (2021); 8 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/2617/4879
https://phcfm.org/index.php/phcfm/article/view/2617/4880
https://phcfm.org/index.php/phcfm/article/view/2617/4881
https://phcfm.org/index.php/phcfm/article/view/2617/4882
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