Asenso-Okyere W K, Anum A, Osei-Akoto I, Adukonu A
Institute of Statistical, Social and Economic Research, University of Ghana, Legon.
Health Policy Plan. 1998 Jun;13(2):181-8. doi: 10.1093/heapol/13.2.181.
The study aimed to investigate the impact on health care seeking behaviour of the cost-sharing policies introduced in Ghana between 1985 and 1992. Qualitative research techniques were used to investigate the behaviour of patients after the introduction of these policies. Focus group discussions of cohorts of the population and in-depth interviews of health workers and selected opinion leaders were used to collect data from rural and urban health care facilities in three districts of Ghana. The study findings indicate that the cost recovery policies have led to an increase in self-medication and other behaviours aimed at cost-saving. At the same time, there is a perception of an improvement in the drug supply situation and general health delivery in government facilities. The study advocated enhanced training of drug peddlers and attendants at drug stores, especially in rural areas. User fee exemption criteria need to be worked out properly and implemented so that the very needy are not precluded from seeking health care at hospitals and clinics.
该研究旨在调查1985年至1992年加纳实施的费用分担政策对就医行为的影响。采用定性研究方法来调查这些政策实施后患者的行为。通过对不同人群组进行焦点小组讨论以及对卫生工作者和选定的意见领袖进行深入访谈，从加纳三个地区的农村和城市医疗机构收集数据。研究结果表明，成本回收政策导致自我用药和其他旨在节省费用的行为有所增加。与此同时，人们认为政府医疗机构的药品供应情况和总体医疗服务有所改善。该研究主张加强对药品小贩和药店店员的培训，尤其是在农村地区。需要妥善制定并实施用户费用豁免标准，以使真正有需要的人不会被排除在医院和诊所就医之外。
