Current status and barriers in pulmonary hypertension care delivery in India: A qualitative analysis
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Le résumé fourni par la source
Although pulmonary hypertension (PH) is widely prevalent in India, care delivery for this condition has unique challenges in a lower middle-income country (LMIC). To describe care delivery for patients with PH and associated barriers in India. We interviewed physicians across eight healthcare systems in India about PH clinical care using semi-structured enquiries to understand care delivery and associated challenges in their specific practice as well as the associated health system. Qualitative analysis was performed using content analysis methodology. Physicians reported that common causes for PH in their practice were rheumatic mitral valve disease, coronary artery disease, and congenital heart disease (CHD). No center had a dedicated PH program. Only one center had a specific protocol for PH management. Diagnostic evaluations were limited, and right heart catheterizations were recommended for patients with CHD. Pulmonary vasodilator therapy was used for severe symptoms or markers of severe disease. Agents used to treat PH were widely variable across physicians and prostacyclins are unavailable in India. Barriers included limited training in PH for physicians, lack of consensus guidelines for PH specific to LMIC, and lack of financial incentives for health care systems to organize dedicated PH programs. Other barriers included poor patient health literacy and socioeconomic barriers that limit ability to test and treat PH. PH care delivery in India is variable with widely differing clinical practices. Dedicated training in PH management and establishing guidelines specific to LMIC like India can form the first step forward.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Current status and barriers in pulmonary hypertension care delivery in India: A qualitative analysis
- Date Crossref
- 01/04/2022
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Mayo Clinic in Arizona Division of Cardiology pays non établi dans la noticeÉtablissement de santé
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University of Michigan Department of Internal Medicine pays non établi dans la noticeUniversité ou école supérieure
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Michigan Medicine pays non établi dans la noticeÉtablissement de santé
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Sree Chitra Thirunal Institute for Medical Sciences and Technology pays non établi dans la noticeStructure de recherche
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Madras Medical Mission pays non établi dans la noticeÉtablissement de santé
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CARE Hospitals Division of Cardiology pays non établi dans la noticeÉtablissement de santé
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Narayana Health pays non établi dans la noticeÉtablissement de santé
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Narayan Medical College and Hospital pays non établi dans la noticeUniversité ou école supérieure
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Asian Institute of Gastroenterology pays non établi dans la noticeÉtablissement de santé
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Veterans Health Administration pays non établi dans la noticeOrganisme public
Division of Cardiology — Mayo Clinic in Arizona, Department of Internal Medicine — University of Michigan et Michigan Medicine, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.