Abstract

Non-adherence to treatment regimen can have a detrimental effect on the heath of dialysis patients, increase mortality, morbidity and increase in healthcare service utilization and cost of hospitalization. This qualitative study explores the factors affecting adherence among the dialysis population visiting a tertiary care teaching hospital in southern India by conducting one-to-one in-depth interviews with the patients as well as key informant interview with the caregivers at the outpatient dialysis facility of a tertiary care teaching hospital. Interview transcripts were thematically analyzed using ATLAS.ti. Patient factors, health financing, cultural beliefs, caregivers’ burden and health systems factors were identified. Understanding the factors affecting adherence can help the healthcare providers and the government to devise strategies to promote adherence and improved well-being among dialysis patients. Universal health coverage for dialysis, regulations to safeguard employment, creating awareness about opting for critical illness policies through private insurance companies when the disease is not pre-existing can reduce the out-of-pocket expenditure; these are some of the important areas for consideration to promote adherence.

Original languageEnglish
Pages (from-to)417-426
Number of pages10
JournalJournal of Health Management
Volume21
Issue number3
DOIs
Publication statusPublished - 01-09-2019

Fingerprint

Tertiary Care Centers
Teaching Hospitals
Renal Dialysis
Dialysis
India
Interviews
Tertiary Healthcare
Caregivers
Universal Coverage
Healthcare Financing
Health
Health Expenditures
Insurance
Critical Illness
Health Personnel
Hospitalization
Outpatients
Morbidity
Delivery of Health Care
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

@article{0f9f47bc42494d8d9eb5e19c85df9a7d,
title = "A Qualitative Study on Factors Affecting Adherence Among Indian Haemodialysis Patients at a Tertiary Teaching Hospital of Southern India",
abstract = "Non-adherence to treatment regimen can have a detrimental effect on the heath of dialysis patients, increase mortality, morbidity and increase in healthcare service utilization and cost of hospitalization. This qualitative study explores the factors affecting adherence among the dialysis population visiting a tertiary care teaching hospital in southern India by conducting one-to-one in-depth interviews with the patients as well as key informant interview with the caregivers at the outpatient dialysis facility of a tertiary care teaching hospital. Interview transcripts were thematically analyzed using ATLAS.ti. Patient factors, health financing, cultural beliefs, caregivers’ burden and health systems factors were identified. Understanding the factors affecting adherence can help the healthcare providers and the government to devise strategies to promote adherence and improved well-being among dialysis patients. Universal health coverage for dialysis, regulations to safeguard employment, creating awareness about opting for critical illness policies through private insurance companies when the disease is not pre-existing can reduce the out-of-pocket expenditure; these are some of the important areas for consideration to promote adherence.",
author = "Brayal Dsouza and Prabhu, {Ravindra A.} and B. Unnikrishnan and Avinash Shetty and Bhageerathy Reshmi",
year = "2019",
month = "9",
day = "1",
doi = "10.1177/0972063419868583",
language = "English",
volume = "21",
pages = "417--426",
journal = "Journal of Health Management",
issn = "0972-0634",
publisher = "Sage Publications India Pvt. Ltd",
number = "3",

}

TY - JOUR

T1 - A Qualitative Study on Factors Affecting Adherence Among Indian Haemodialysis Patients at a Tertiary Teaching Hospital of Southern India

AU - Dsouza, Brayal

AU - Prabhu, Ravindra A.

AU - Unnikrishnan, B.

AU - Shetty, Avinash

AU - Reshmi, Bhageerathy

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Non-adherence to treatment regimen can have a detrimental effect on the heath of dialysis patients, increase mortality, morbidity and increase in healthcare service utilization and cost of hospitalization. This qualitative study explores the factors affecting adherence among the dialysis population visiting a tertiary care teaching hospital in southern India by conducting one-to-one in-depth interviews with the patients as well as key informant interview with the caregivers at the outpatient dialysis facility of a tertiary care teaching hospital. Interview transcripts were thematically analyzed using ATLAS.ti. Patient factors, health financing, cultural beliefs, caregivers’ burden and health systems factors were identified. Understanding the factors affecting adherence can help the healthcare providers and the government to devise strategies to promote adherence and improved well-being among dialysis patients. Universal health coverage for dialysis, regulations to safeguard employment, creating awareness about opting for critical illness policies through private insurance companies when the disease is not pre-existing can reduce the out-of-pocket expenditure; these are some of the important areas for consideration to promote adherence.

AB - Non-adherence to treatment regimen can have a detrimental effect on the heath of dialysis patients, increase mortality, morbidity and increase in healthcare service utilization and cost of hospitalization. This qualitative study explores the factors affecting adherence among the dialysis population visiting a tertiary care teaching hospital in southern India by conducting one-to-one in-depth interviews with the patients as well as key informant interview with the caregivers at the outpatient dialysis facility of a tertiary care teaching hospital. Interview transcripts were thematically analyzed using ATLAS.ti. Patient factors, health financing, cultural beliefs, caregivers’ burden and health systems factors were identified. Understanding the factors affecting adherence can help the healthcare providers and the government to devise strategies to promote adherence and improved well-being among dialysis patients. Universal health coverage for dialysis, regulations to safeguard employment, creating awareness about opting for critical illness policies through private insurance companies when the disease is not pre-existing can reduce the out-of-pocket expenditure; these are some of the important areas for consideration to promote adherence.

UR - http://www.scopus.com/inward/record.url?scp=85074215827&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85074215827&partnerID=8YFLogxK

U2 - 10.1177/0972063419868583

DO - 10.1177/0972063419868583

M3 - Article

AN - SCOPUS:85074215827

VL - 21

SP - 417

EP - 426

JO - Journal of Health Management

JF - Journal of Health Management

SN - 0972-0634

IS - 3

ER -