La perspectiva de enfermos crónicos sobre la atención médica en Guadalajara, México. Un estudio cualitativo

Cadernos de Saúde Pública

Francisco J. Mercado Martínez²  Igor M. Ramos Herrera¹  Enriqueta Valdez Curiel¹ 

[1] ,Universidad de Guadalajara Centro Universitário de Ciências de la Salud Departamento de Salud PúblicaGuadalajara,México

关键词: Patients;    Chronic Diseases;    Health Services;    Enfermos;    Enfermedad Crónica;    Servicios Médicos;   

DOI  :  10.1590/S0102-311X2000000300024

来源: SciELO

【 摘 要 】

This paper reports partial findings from a broader study on the experience of people with chronic diseases. The objective was to explore the perspectives of diabetic patients towards medical care. A qualitative study was conducted in a poor neighborhood of Guadalajara, Mexico. Thirty subjects with diabetes mellitus participated in the study. Data was gathered by open and semi-open interviews in the subjects' homes and over the course of one year. Data were analyzed using a combination of content and conversational analyzing techniques. Three perspectives predominated when participants evaluated medical care: some define it as good, some as ambivalent, and the rest as bad. These perspectives were closely linked to their disease experience and available medical options according to their material resources. These perspectives change with time, are specific to each available service and type of medical care, and are constructed in terms of all the subjects' present chronic illnesses. Those treated through the social security system evaluate the care in negative terms, with the opposite occurring with those treated in public health care centers and private facilities. Implications regarding health care reform are discussed.

【 授权许可】

CC BY   
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