@article{fdi:010090043,
  title = {{F}inancial issues in times of a {COVID}-19 pandemic in a tertiary hospital in {M}ali},
  author = {{R}idde, {V}al{\'e}ry and {C}oulibaly, {A}. and {T}oure, {L}. and {B}a, {M}. {F}. and {Z}inszer, {K}. and {B}onnet, {E}mmanuel and {H}onda, {A}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {T}his study examines how the functioning of healthcare providers during the {COVID}-19 pandemic was affected by the government financing response, which was shaped by existing healthcare financing systems.{M}ethods: {T}he study applied a single case study design at a tertiary hospital in {B}amako during the 1st and 2nd waves of the {COVID}-19 pandemic. {D}ata were gathered through 51 in-depth interviews with hospital staff, participatory observation, and reviewing media articles and hospital financial records.{R}esults: {T}he study revealed the disruptions experienced by hospital managers, human resources for health and patients in {M}ali during the early stages of the pandemic. {W}hile the government aimed to support universal access to {COVID}-19-related services, efforts were undermined by issues associated with complex public financing management procedures. {T}he hospital experienced long delays in transferring government funds. {T}he hospital suffered a decrease in revenue during the early stages of the pandemic. {G}overnment budgets were not effectively used because of complex, non-agile procedures that could not adapt to the emergency. {T}he challenges faced by the hospitals led to the delays in the staff payments of salaries and promised bonuses, which created potential for unfair treatment of patients. {E}xcluding some {COVID}-19 related items from the government funded benefit package created a financial burden on people receiving services. {T}he managerial challenges experienced in the study hospital during the first wave continued in the second wave.{C}onclusions: {P}re-existent issues in healthcare financing and governance constrained the effective management of {COVID}-19-related services and created confusion at the front line of healthcare service delivery.},
  keywords = {{COVID}-19 ; finance ; hospital ; {M}ali ; public management ; {MALI} ; {BAMAKO}},
  booktitle = {},
  journal = {{I}nternational {J}ournal of {H}ealth {P}lanning and {M}anagement},
  volume = {[{E}arly access]},
  numero = {},
  pages = {[18 p.]},
  ISSN = {0749-6753},
  year = {2023},
  DOI = {10.1002/hpm.3690},
  URL = {https://www.documentation.ird.fr/hor/fdi:010090043},
}