Tlili Faten, Tinsa Francine, Skhiri Afef, Zaman Shahaduz, Phillimore Peter, Ben Romdhane Habiba
CVD Epidemiology and Prevention Research Laboratory (CAVEPLA), Faculté de Médecine de Tunis, Tunis, Tunisia,
Int J Public Health. 2015 Jan;60 Suppl 1:S31-7. doi: 10.1007/s00038-014-0572-8. Epub 2014 Jun 13.
The growing prevalence of non-communicable diseases across the Middle East and North Africa poses major challenges for underfunded health services. This article presents data on the perspectives of ordinary Tunisians who are coping with two of these diseases--diabetes and hypertension--and who are obtaining treatment through Tunisian public health clinics. Little has been written to date on patient experiences of biomedical treatment in Maghreb countries.
Based on qualitative methods and semi-structured interviews with 24 patients attending two clinics, one urban and one rural.
We examine popular aetiological beliefs, ideas about biomedical treatment and its implications, and comparative views on the benefits and drawbacks of treatment in both public and private clinics.
We highlight two main themes. One was nostalgia for a recent past when 'pure' and 'natural' food, 'proper' meals and less stressful lives meant less chronic illness, with demanding and costly treatment. The other concerned communication in the clinic, and the recurrent dismay patients felt at what they saw as the cursory attention and guidance they received from clinic staff in public facilities.
中东和北非地区非传染性疾病的患病率不断上升，这给资金不足的卫生服务带来了重大挑战。本文介绍了普通突尼斯人的观点数据，这些人患有糖尿病和高血压这两种疾病，并通过突尼斯公共卫生诊所接受治疗。迄今为止，关于马格里布国家患者生物医学治疗经历的报道很少。
基于定性方法以及对两家诊所（一家城市诊所和一家农村诊所）的24名患者进行的半结构化访谈。
我们研究了流行的病因观念、关于生物医学治疗及其影响的看法，以及对公立和私立诊所治疗利弊的比较观点。
我们突出了两个主要主题。一个是怀念最近的过去，那时“纯净”和“天然”的食物、“恰当”的饮食以及压力较小的生活意味着慢性病较少，治疗要求不高且成本较低。另一个主题涉及诊所内的沟通，以及患者反复感到沮丧，因为他们认为在公共机构中诊所工作人员给予他们的关注和指导很敷衍。
