PMID: 9447633Feb 3, 1998Paper

Professionalism, patient satisfaction and quality of health care: experience during Zimbabwe's structural adjustment programme

Social Science & Medicine
M T BassettD Sanders

Abstract

In 1991, Zimbabwe embarked on a structural adjustment programme. In the health sector, collection of fees was enforced and fees were later increased. Utilisation subsequently declined. This paper examines the perceptions of both government nurses and health care consumers regarding the impact of adjustment on overall quality of care, including nurse professionalism, the nurse-client relationship and patient satisfaction with care. These issues were explored in a series of focus group discussions held in December 1993, about three years after policy reforms. The discussions suggested many areas of shared concern (fees, drug availability, waiting times), but divergent views regarding the process of care. Nurses were concerned mainly with overwork and patient ingratitude, and failed to recognise nurse behaviour as a major source of patient dissatisfaction. Community women saw nurses as hardened and indifferent, especially in urban areas. These differences are rooted in the perceived class differences between nurses and the communities they serve, but appear to have sharpened during the period of structural adjustment.

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Jan 1, 1991·Social Science & Medicine·R LoewensonR Davies
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Nov 1, 1996·Molecular Biology of the Cell·R A SiaD J Lew

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Citations

Jun 5, 2004·Midwifery·Thubelihle MatholeBeth Maina Ahlberg
Oct 26, 2002·Health & Place·Alethea Mashamba, Elsbeth Robson
Oct 18, 2001·Journal of Midwifery & Women's Health·M C MaimbolwaA B Ransjö-Arvidson
Oct 2, 2001·The Journal of Social Psychology·K Liebkind, L Eränen
Aug 19, 2011·BMC Public Health·Kate GrohTroy D Moon
Jun 18, 2005·American Journal of Public Health·Anne-Emanuelle Birn, Klaudia Dmitrienko
Mar 31, 2012·Journal of Clinical Nursing·Margot van der DoefChris Verhoeven
Jul 12, 2005·Social Science & Medicine·Lucy GilsonHelen Schneider
Nov 17, 2015·Journal of Health Economics·Karen A Grépin, Prashant Bharadwaj
Nov 29, 2002·International Journal of Health Services : Planning, Administration, Evaluation·Jean-Pierre UngerPaul De Munck
Jun 12, 2016·International Journal of Health Services : Planning, Administration, Evaluation·Juan Cruz Ferre
Dec 29, 2020·International Quarterly of Community Health Education·Leso MunalaEmily Hohenshell

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