• H Hien, A Berthé, M K Drabo, B Konaté, N Toé, F Tou, M Adiara, F Badini-Kinda, M Ouédraogo, N Meda, and J Macq.
• Centre Muraz, Bobo-Dioulasso, Burkina Faso; Institut de recherche en sciences de la santé, Bobo-Dioulasso, Burkina Faso. Electronic address: hien_herve@hotmail.com.
• Rev Epidemiol Sante. 2016 Feb 1; 64 (1): 15-21.

BackgroundLittle 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.MethodsA 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.ResultsOur 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.ConclusionThe 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.Copyright © 2015 Elsevier Masson SAS. All rights reserved.

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