Responsive and Equitable Health Systems-Partnership on Non-Communicable Diseases (RESPOND) study: a mixed-methods, longitudinal, observational study on treatment seeking for hypertension in Malaysia and the Philippines.
| Autor: | Palafox B; Centre for Global Chronic Conditions, London School of Hygiene and Tropical Medicine, London, UK., Seguin ML; Centre for Global Chronic Conditions, London School of Hygiene and Tropical Medicine, London, UK., McKee M; Centre for Global Chronic Conditions, London School of Hygiene and Tropical Medicine, London, UK., Dans AL; College of Medicine, University of the Philippines Manila, Manila, Philippines., Yusoff K; Faculty of Medicine and Health Sciences, UCSI University, Kuala Lumpur, Malaysia.; Centre for Translational Research and Epidemiology, Faculty of Medicine, University Teknologi MARA, Shah Alam, Malaysia., Candari CJ; College of Medicine, University of the Philippines Manila, Manila, Philippines., Idris K; Institute for Social Science Studies, University Putra Malaysia, Serdang, Malaysia., Ismail JR; Centre for Translational Research and Epidemiology, Faculty of Medicine, University Teknologi MARA, Shah Alam, Malaysia., Krauss SE; Institute for Social Science Studies, University Putra Malaysia, Serdang, Malaysia., Lasco G; Department of Anthropology, University of the Philippines Diliman, Quezon City, Philippines., Majid FA; Centre for Translational Research and Epidemiology, Faculty of Medicine, University Teknologi MARA, Shah Alam, Malaysia., Palileo-Villanueva LM; College of Medicine, University of the Philippines Manila, Manila, Philippines., Razak AA; Faculty of Medicine and Health Sciences, UCSI University, Kuala Lumpur, Malaysia., Renedo A; Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, UK., Balabanova D; Centre for Global Chronic Conditions, London School of Hygiene and Tropical Medicine, London, UK. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ open [BMJ Open] 2018 Jul 30; Vol. 8 (7), pp. e024000. Date of Electronic Publication: 2018 Jul 30. |
| DOI: | 10.1136/bmjopen-2018-024000 |
| Abstrakt: | Introduction: Hypertension is a leading contributor to the global burden of disease. While safe and effective treatment exists, blood pressure control is poor in many countries, often reflecting barriers at the levels of health systems and services as well as at the broader level of patients' sociocultural contexts. This study examines how these interact to facilitate or hinder hypertension control, taking into account characteristics of service provision components and social contexts. Methods and Analysis: The study, set in Malaysia and the Philippines, builds on two systematic reviews of barriers to effective hypertension management. People with hypertension (pre-existing and newly diagnosed) will be identified in poor households in 24-30 communities per country. Quantitative and qualitative methods will be used to examine their experiences of and pathways into seeking and obtaining care. These include two waves of household surveys of 20-25 participants per community 12-18 months apart, microcosting exercises to assess the cost of illness (including costs due to health seeking activities and inability to work (5 per community)), preliminary and follow-up in-depth interviews and digital diaries with hypertensive adults over the course of a year (40 per country, employing an innovative mobile phone technology), focus group discussions with study participants and structured assessments of health facilities (including formal and informal providers). Ethics and Dissemination: Ethical approval has been granted by the Observational Research Ethics Committee at the London School of Hygiene and Tropical Medicine and the Research Ethics Boards at the Universiti Putra Malaysia and the University of the Philippines Manila. The project team will disseminate findings and engage with a wide range of stakeholders to promote uptake and impact. Alongside publications in high-impact journals, dissemination activities include a comprehensive stakeholder analysis, engagement with traditional and social media and 'digital stories' coproduced with research participants. Competing Interests: Competing interests: ALD, KY, JRI, FAM and LMP-V have been and/or are currently involved in clinical trials of antihypertensive medications that receive some funding from industry. (© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ.) |
| Databáze: | MEDLINE |
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