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Patients' knowledge, attitudes, behaviour and health care experiences on the prevention, detection, management and control of hypertension in Colombia : A qualitative study

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dc.contributor.authorLopez-Jaramillo, Patriciospa
dc.contributor.authorLegido Quigley, Helenaspa
dc.contributor.authorCamacho López, Paul Anthonyspa
dc.contributor.authorBalabanova, Dinaspa
dc.contributor.authorPerel, Pablospa
dc.contributor.authorNieuwlaat, Robbyspa
dc.contributor.authorSchwalm, Jon-Davidspa
dc.contributor.authorMcCready, Taraspa
dc.contributor.authorYusuf, Salimspa
dc.contributor.authorMcKee, Martinspa
dc.date.accessioned2019-07-02T18:27:03Zspa
dc.date.available2019-07-02T18:27:03Zspa
dc.date.issued2015-04-24spa
dc.description16 p.spa
dc.description.abstractAbstract Hypertension is a leading cause of premature death worldwide and the most important modifiable risk factor for cardiovascular disease. Effective screening programs, communication with patients, regular monitoring, and adherence to treatment are essential to successful management but may be challenging in health systems facing resource constraints. This qualitative study explored patients’ knowledge, attitudes, behaviour and health care seeking experiences in relation to detection, treatment and control of hypertension in Colombia. We conducted in-depth interviews and focus group discussions with 26 individuals with hypertension and 4 family members in two regions. Few participants were aware of ways to prevent high blood pressure. Once diagnosed, most reported taking medication but had little information about their condition and had a poor understanding of their treatment regime. The desire for good communication and a trusting relationship with the doctor emerged as key themes in promoting adherence to medication and regular attendance at medical appointments. Barriers to accessing treatment included co-payments for medication; costs of transport to health care facilities; unavailability of drugs; and poor access to specialist care. Some patients overcame these barriers with support from social networks, family members and neighbours. However, those who lacked such support, experienced loneliness and struggled to access health care services. The health insurance scheme was frequently described as administratively confusing and those accessing the state subsidized system believed that the treatment was inferior to that provided under the compulsory contributory system. Measures that should be addressed to improve hypertension management in Colombia include better communication between health care professionals and patients,eng
dc.format.mimetypeapplication/pdfspa
dc.identifier.doi10.1371/journal.pone.0122112eng
dc.identifier.issn1932-620spa
dc.identifier.urihttps://repositorio.udes.edu.co/handle/001/3251spa
dc.language.isoengspa
dc.relation.ispartofPlos Oneeng
dc.rightsDerechos Reservados - Plos One, 2015spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/spa
dc.sourcehttps://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0122112&type=printableeng
dc.subject.proposalHealth Careeng
dc.subject.proposalControl of Hypertensionspa
dc.subject.proposalColombiaspa
dc.titlePatients' knowledge, attitudes, behaviour and health care experiences on the prevention, detection, management and control of hypertension in Colombia : A qualitative studyeng
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dspace.entity.typePublication
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
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