title: [Quality of chronic patient care according to the Chronic Care Model in Burkina Faso].
abstract: BACKGROUND
  There is a lack of organizational knowledge concerning optimal management by the health care system for patients with chronic health conditions in sub-Saharan Africa. The objective of this study was to describe the quality of chronic patient care at first-line heath facilities in Bobo-Dioulasso, Burkina Faso.
  
  
  METHODS
  We conducted a cross-sectional study in six health facilities in Bobo-Dioulasso from October to November 2013. The chronic care model was used as a reference to describe the care of hypertensive patients. A score was calculated for each item in the model, and the strengths and weaknesses of health care organization were identified
  
  
  RESULTS
  The overall level of support for the management of hypertensive patients was "basic" for all surveyed structures: median score and IQR 3.7 (3.4, 4.4). The level of support was basic for primary health facilities (median score 4.4), district hospitals (median score 4.1) and the University health center (median score 5.4). The relationship with the community and support to decision-making were identified as weak components of the model.
  
  
  CONCLUSIONS
  To improve the quality of chronic patient care in first-line health facilities in Burkina Faso, efforts must be made to strengthen clinical governance and partnership with the community.
authors.forename: Hervé
authors.initials: H
authors.lastname: Hien
authors.forename: Koiné Maxime
authors.initials: KM
authors.lastname: Drabo
authors.forename: Nadia
authors.initials: N
authors.lastname: Toé
authors.forename: Abdramane
authors.initials: A
authors.lastname: Berthé
authors.forename: Blahima
authors.initials: B
authors.lastname: Konaté
authors.forename: Fatoumata
authors.initials: F
authors.lastname: Tou
authors.forename: Fatoumata
authors.initials: F
authors.lastname: Badini-Kinda
authors.forename: Nicolas
authors.initials: N
authors.lastname: Meda
authors.forename: Macaire
authors.initials: M
authors.lastname: Ouédraogo
authors.forename: Jean
authors.initials: J
authors.lastname: Macq
mesh_terms: D002050:Burkina Faso; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000592:standards*; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D008962:Models, Theoretical; D005791:Patient Care / Q000592:standards*; D011787:Quality of Health Care