| Title: |
Analyse du fonctionnement du plan de prise en charge gratuite des soins chez les personnes âgées « Plan Sésame » au Sénégal |
| Authors: |
Mbacké Leye, Mamadou Makhtar; Diongue, Mayassine; Faye, Adama; Coumé, Mamadou; Faye, Abdoulaye; Tall, Alioune Badara; Niang, Khadim; Wone, Issa; Seck, Ibrahima; Ndiaye, Papa; Tal Dia, Anta |
| Source: |
Santé Publique ; Santé Publique, 25, 1, 2013-03-01, pp.101-106 |
| Publication Year: |
2013 |
| Subject Terms: |
analyse; fonctionnement; gratuité des soins; Sénégal; analysis; care provision and management; free health care; hisphilso; demo |
| Description: |
`titrebAnalysis of free health care for the elderly in the context of the “Plan Sésame” in Senegal`/titrebIntroduction : Access to health care remains a major problem in Senegal, particularly among vulnerable groups such as the elderly. In 2006, the Senegalese government introduced a national plan for the provision of free health care known as “Plan Sésame” to improve access to care. The purpose of this study was to examine the current state of the “Plan Sésame” in national hospitals four years after its implementation (2006-2009).Methods : A qualitative study using individual interviews was conducted between 15 March and 14 May 2010 among five target populations : hospital directors, health care providers, managers of the “Plan Sésame” in hospital admission services, management accountants, and beneficiaries. Content analysis was used.Results : Between 2006 and 2008, hospital attendance rates increased every year. However, attendance rates began to decrease in 2009, except in the main hospital. The state has been left with a growing debt because of issues surrounding the reimbursement of expenses related to the “Plan Sésame”. As a result, national hospitals have been forced to restrict certain services included in the “Plan Sésame” and even to withdraw free health care for the elderly. These difficulties are likely to undermine the sustainability of the “Plan Sésame”.Conclusion : The health authorities need to audit the “Plan Sésame”, to comply with standard procedures through regular monitoring and to redefine conditions of access. ; Introduction : Au Sénégal, l’accès aux soins pose toujours problème surtout auprès des groupes vulnérables comme les personnes âgées. Face à cette situation, l’État a mis en place en 2006 un plan national de gratuité dénommé « Plan Sésame ». L’objectif de cette étude était d’analyser le fonctionnement du Plan Sésame au niveau des hôpitaux nationaux du Sénégal après quatre ans de mise en œuvre (2006-2009).Méthodes : Une approche qualitative par des entretiens individuels a été ... |
| Document Type: |
article in journal/newspaper |
| Language: |
French |
| Relation: |
10670/1.y0p96g; http://www.cairn.info/article.php?ID_ARTICLE=SPUB_131_0101 |
| Availability: |
http://www.cairn.info/article.php?ID_ARTICLE=SPUB_131_0101 |
| Rights: |
lic_cairn ; other |
| Accession Number: |
edsbas.88DA5FAE |
| Database: |
BASE |