title: [Point of view of older adults on the potentially inappropriate medications prescribing in primary care facilities in Bobo-Dioulasso, Burkina Faso].
abstract: BACKGROUND
  Little is known about the organization of primary care facilities in sub-Saharan Africa that might lead to potentially inappropriate prescribing. The aim of this study was to analyze the factors that could lead to potentially inappropriate prescribing in primary care facilities in Bobo-Dioulasso (Burkina Faso), taking into consideration the patient's perspective.
  
  
  METHODS
  A cross-sectional qualitative study was conducted in primary care facilities from November 2013 to February 2014. People aged 60 years or more with at least one chronic disease were included. Individual interviews were conducted. An analysis of the thematic content of the interviews was conducted.
  
  
  RESULTS
  Our results showed that the patient referral system was insufficient. We also found many different prescribers for older people seeking care and poor communication between prescribers and patients. This caused some consequences such as the absence of review of drugs consumed before a new prescription, a lack of exchange on medication changes and repeated treatment change during hospitalization. Most of the persons who prescribed potentially inappropriate medications were nurses.
  
  
  CONCLUSIONS
  The poor communication between prescribers and patients is a challenge for the prevention of prescribing potentially inappropriate medications. Teamwork is an important feature of the organizational care system, strengthening it could be a way to improve rational prescription.
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso; Institut de recherche en sciences de la santé, Bobo-Dioulasso, Burkina Faso. Electronic address: hien_herve@hotmail.com.
authors.forename: H
authors.initials: H
authors.lastname: Hien
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Berthé
authors.affiliation: Institut de recherche en sciences de la santé, Bobo-Dioulasso, Burkina Faso; Laboratoire national de santé publique, Ouagadougou, Burkina Faso.
authors.forename: M K
authors.initials: MK
authors.lastname: Drabo
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso.
authors.forename: B
authors.initials: B
authors.lastname: Konaté
authors.affiliation: Centre hospitalier universitaire Sourô Sanou, Bobo-Dioulasso, Burkina Faso.
authors.forename: N
authors.initials: N
authors.lastname: Toé
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso.
authors.forename: F
authors.initials: F
authors.lastname: Tou
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso.
authors.forename: M
authors.initials: M
authors.lastname: Adiara
authors.affiliation: Université de Ouagadougou, UFR/SH, Ouagadougou, Burkina Faso.
authors.forename: F
authors.initials: F
authors.lastname: Badini-Kinda
authors.affiliation: Centre hospitalier universitaire Sourô Sanou, Bobo-Dioulasso, Burkina Faso.
authors.forename: M
authors.initials: M
authors.lastname: Ouédraogo
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso.
authors.forename: N
authors.initials: N
authors.lastname: Meda
authors.affiliation: Université catholique de Louvain, IRSS, Bruxelles, Belgique.
authors.forename: J
authors.initials: J
authors.lastname: Macq
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002050:Burkina Faso / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D057970:Inappropriate Prescribing / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010465:Perception; D000067561:Potentially Inappropriate Medication List; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000706:statistics & numerical data
keywords: Afrique de l’Ouest; Chronic disease; Médicaments potentiellement inappropriés; Older adults; Pathologies chroniques; Personnes âgées; Potentially inappropriate medications; Potentially inappropriate prescribing; Premier niveau de soins; Prescriptions inappropriées; Primary care; West Africa