Rharib Oussama, Ababou Mohammed
Sociology and Psychology Laboratory, Faculty of Letters and Human Sciences Dhar El Mehraz, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
Higher Institute of Nursing and Health Technology, Meknes, Morocco.
J Educ Health Promot. 2024 Feb 7;13:32. doi: 10.4103/jehp.jehp_1620_22. eCollection 2024.
If in the past the relationship between caregiver and patient was paternalistic based on the principle of protection, the advent of health democracy has made this relationship evolve to build it on the principles of equality and autonomy for the patient. However, this practice leaves something to be desired, given the forms of inequality in access to information that mark the relationship between caregiver and cancer patient.
The objective of this qualitative study is to present a sociological view of the process of shaping inequalities in access to information and its determinants. The study took place in the medical prefecture of Meknes, with a target population consisting of cancer patients treated in public and private health establishments. A qualitative content analysis approach using semi-structured interviews was employed.
A diversity of attitudes of the cancer patient with regard to the information, depending on whether the patient is strongly or weakly involved by the health professional in his or her illness or in the care he or she receives. In this case: a) active patient better informed; b) passive patient more or less informed; c) patient in denial who refuses to be informed.
It seems that the issue of inequality of access to information is not a topical one, and yet it is given little consideration in the policies of the Ministry of Health, particularly in the fight against cancer in Morocco.
如果说过去医患关系是基于保护原则的家长式关系,那么健康民主的出现使这种关系得以演变,将其建立在患者平等和自主的原则之上。然而,鉴于医护人员与癌症患者关系中存在的信息获取不平等形式,这种做法仍有不足之处。
这项定性研究的目的是呈现信息获取不平等形成过程及其决定因素的社会学观点。该研究在梅克内斯医疗辖区开展,目标人群为在公立和私立医疗机构接受治疗的癌症患者。采用了基于半结构化访谈的定性内容分析法。
癌症患者对信息的态度多种多样,这取决于医护人员在其疾病或所接受治疗中对患者参与程度的高低。具体如下:a) 积极的患者信息更灵通;b) 消极的患者信息或多或少;c) 拒绝了解情况的否认型患者。
信息获取不平等问题似乎并非一个新问题,但在摩洛哥卫生部的政策中,尤其是在抗癌斗争中,却很少得到考虑。