FERRIÉ, Jean-Noël; ABABOU, Mohammed; BENKIRANE, Wassila; OMARY, Zineb; RADI, Saadia

doi:10.21203/rs.3.rs-875705/v1

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FERRIÉ, Jean-Noël
Centre Jacques Berque [CJB]
Les Afriques dans le monde [LAM]

ABABOU, Mohammed

BENKIRANE, Wassila

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Abstract Background: The article discusses the limitations of a free-of-charge scheme for the poor in the case of cancer patients. The literature on free access to hospitals, especially on the African continent, has already mentioned these limits: occasional payments for care and transport. The particularly ambitious Moroccan free-of-charge scheme (RAMEd) presents the same problemsMethods: It is based on a qualitative survey of 120 patients and 30 doctors or nurses with whom we conducted semi-structured interviews over several months.Results: The results show that patients continue to pay for care and medical imaging as well as their transport to the hospital. They pay for care and examinations that are not available at the hospital or wait for them to be available, which is a danger to their chances of survival.Conclusions: The limitation of the RAMed is that it does not cover the cost of transport or the structural deficiencies of the hospital. The result is the paradox of a free service that is costly for patients. We stress that targeted policies cannot replace structural policies and, on their own, do not remedy inequalities, particularly territorial inequalities.< Réduire

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The Limits of Free Health Care Schemes: the Case of Access to Care for Beneficiaries of the Moroccan Medical Assistance Scheme (RAMed) Suffering From Cancer

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