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[通过快速诊断检测改善疟疾管理:提供者社区的应用(塞内加尔)]

[Improving malaria management through Rapid Diagnostic Tests: appropriation by providers communities (Sénégal)].

作者信息

Faye S L

机构信息

Département de sociologie, FSLH UCAD, Dakar, Sénégal.

出版信息

Bull Soc Pathol Exot. 2012 Aug;105(3):237-44. doi: 10.1007/s13149-012-0225-1. Epub 2012 Mar 7.

Abstract

Introduced in the public health services in Senegal since 2007, Rapid Diagnostic Tests (RDTs) are a new technical opportunity for clinical diagnosis of malaria. We analyze how different categories of caregivers, who are the providers, assume appropriation of their professional practices. Similarly, we document, from the analysis of their application for care, attitudes of recipients towards RDTs. The results show a time lag between the uses of this tool and the recommendations. RDTs have a recognized epidemiological usefulness. However, their positive integration requires a change in behaviors that caregivers and recipients are not always willing to assume. Indeed, the architecture, working conditions and applications for care influence the modes of appropriation of this technical innovation.

摘要

自2007年起在塞内加尔公共卫生服务中推出的快速诊断检测(RDTs),是疟疾临床诊断的一项新的技术契机。我们分析了作为提供者的不同类别护理人员如何进行其专业实践。同样,我们通过对护理申请的分析,记录了接受者对RDTs的态度。结果显示,该工具的使用与建议之间存在时间差。RDTs具有公认的流行病学效用。然而,其积极整合需要护理人员和接受者并非总是愿意承担的行为改变。事实上,架构、工作条件和护理申请会影响对这一技术创新的采用方式。

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