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African Journal of Primary Health Care & Family Medicine
versión On-line ISSN 2071-2936
versión impresa ISSN 2071-2928
Resumen
BOSONGO, Samuel I.; MUKALENGE, Faustin C.; TAMBWE, Albert M. y CRIEL, Bart. The first-line physicians' practice in Kisangani city in Democratic Republic of Congo: Towards a typology. Afr. j. prim. health care fam. med. (Online) [online]. 2021, vol.13, n.1, pp.1-8. ISSN 2071-2936. http://dx.doi.org/10.4102/phcfm.v13i1.2617.
BACKGROUND: In the Democratic Republic of the Congo (DRC), for a number of years, there has been a spontaneous and growing phenomenon of physicians operating at the front line of the health system, while this role is traditionally devolved to nurse-practitioners. This phenomenon does not align with the current health policyAIM: The aim of this paper is to develop and discuss the main types of frontline physicians in the city of KisanganiSETTING: We conducted a descriptive cross-sectional study in two urban districts in the city of KisanganiMETHODS: The study population consisted of all first-line health facilities that employed at least one physician. The construction of a typology of first-line physicians consisted of three stages: identification and definition of relevant dimensions of analysis; grouping cases based on empirical data; and analysis of significant relationships and establishment of the typology itselfRESULTS: An involvement of physicians in healthcare delivery at the first line was observed in 60% of all first line facilities in the two urban districts. Two main types of first-line physicians were identified: firstly, and by large the most prevalent one (96% of cases), the 'hospital-like physician', and secondly, the much less frequent type of the 'supervision physician'CONCLUSION: The involvement of physicians in first line healthcare is today a growing phenomenon in the DRC, especially in urban areas. The most dominant expression of this phenomenon is a transposition of the hospital-based physician model to the first line healthcare services, which thereby jeopardizing the specificity of first line healthcare
Palabras clave : physicians; first line healthcare facilities; health district system; typology; Democratic Republic of Congo.