000			02092nam a2200229 4500
999			_c52934 _d52934
003			OSt
005			20191125153939.0
008			191125b ||||| |||| 00| 0 eng d
100			_aDsouza, Brayal _935089
245			_aA Qualitative Study on Factors Affecting Adherence Among Indian Haemodialysis Patients at a Tertiary Teaching Hospital of Southern India
300			_a417-426 p.
520			_aNon-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.
653			_aCompliance
653			_amaintenance haemodialysis
653			_aend-stage renal disease
700			_aPrabhu, Ravindra A _935090
700			_aUnnikrishnan, B _935091
700			_aShetty, Avinash , _935092
700			_aReshmi, Bhageerathy _935093
773	0		_029022 _977393 _aSAGE PUBLICATIONS _dNEW DELHI SAGE PUBLICATIONS 2012 _o55511169 _tJOURNAL OF HEALTH MANAGEMENT _x0972-0634
942			_2ddc _cJA-ARTICLE