PMID: 9447644Feb 3, 1998Paper

What do sequential behavioral patterns suggest about the medical decision-making process?: modeling home case management of acute illnesses in a rural Cameroonian village

Social Science & Medicine
G W Ryan

Abstract

It is well recognized that much of the world's medical care is in the hands of laypeople. In pluralistic medical settings, laypeople choose what to do first, second, third, and fourth from a variety of treatment options. In retrospect, laypeople's choices can be represented as an ordered series of health-related behaviors. A systematic of such sequential data provides insights into caregivers' patterns of resort and suggests a tentative theory for how laypeople make medical choices. This study examines sequences of health-related behaviors from a small, Kom-speaking village in Cameroon. Local residents consider seven health actions, including: delaying initial treatment, using various home remedies or pharmaceuticals, going to a government clinic or a Catholic hospital, and consulting a private nurse or a traditional healer. Researchers visited 88 randomly selected compounds on a weekly basis over a 5-month period. Data were collected on the treatments associated with 429 nonchronic episodes. Analysis of the treatment sequences suggests that residents customarily use delay of treatments as a tactic in the decision-making process. Caregivers were more likely to use home-based treatments and to use them earlier in the treatment s...Continue Reading

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Citations

Jun 5, 2004·Social Science & Medicine·Ina VandebroekNorbert De Kimpe
Nov 15, 2000·Social Science & Medicine·C BaumeS P Kachur
May 9, 2002·Social Science & Medicine·Kathleen A HollowayAnn Taket
Sep 27, 2003·Social Science & Medicine·Christophe BedosSlim Haddad
Apr 1, 2006·Anthropology & Medicine·Mary Amuyunzu-Nyamongo, Isaac K Nyamongo
Jun 20, 2013·BMC International Health and Human Rights·Helle M AlvessonLucie Laflamme
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Jun 16, 2010·Tropical Medicine & International Health : TM & IH·Niklaus D LabhardtWolf Langewitz
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Aug 5, 2015·The International Journal of Social Psychiatry·Harish ThippeswamyPrabha S Chandra
Sep 10, 2010·International Journal of Urban and Regional Research·Marit Rosol
Aug 31, 2020·The Sociological Quarterly·Arthur L GreilKathleen S Slauson-Blevins
Jan 16, 2019·BMC Health Services Research·Elizeus RutebemberwaRaymond Tweheyo
Feb 23, 2020·Journal of Global Health·Andrew MarshHarry Campbell
Apr 17, 2021·Journal of Religion and Health·Lana V IvanitskayaMark R Taylor

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