Title:
Centredanamsesis on the Patient by Negocited approach in Order to Favor Therapeutic Observance in the Health Communautary Center of Yirimadio

Authors:
Mohamed Diabaté, Samou Diarra, Kassoum Barry, Ibrahim Coulibaly, Alima Sidibé, Youssouf I Traoré, Yiriba Diarra, Boubacar N Coulibaly, Singoun Dembele, Ibrahim Cissé, Salif Bagayogo, Awa Diallo, Mali

Abstract:

Summary: The quality of the relationship between the patient and his doctor is one of the major determinants of his success and conditions the success of medical treatment. The history is the essential basis of the diagnosis.

Objective: To improve the quality of the patient’s history according to a negotiated approach in order to promote therapeutic compliance.
Method and Material: this was an action research type study. The study is prospective of the research/action type. The procedure consisted of making an investigation during the curative consultations in the doctors' offices; while the doctor interrogates a patient an investigator fills the investigation paper; to report the findings made with a view to developing a collegial action plan to improve the history. A second survey was conducted to assess the level of achievement of the action plan.
Results: The results of this action research showed that almost 2% of physicians did the history summary in the first phase (first survey) while 10% did so after the upgrade. The diagnostic hypothesis was announced to patients by 33% of physicians initially, compared to 48% after the upgrade. And finally, more than half of the doctors did not explain to patients the different treatment options available for his case.
Conclusion: Patient-centered history taking is not a common practice at the Yirimadio community health center. More action research is needed for physicians to fully embrace this approach.