Patients' and healthcare providers' perceptions and practices regarding hypertension, pharmacy-based care, and mHealth in Lagos, Nigeria
| Autor: | Heleen E. Nelissen, Akin Osibogun, Anja H. van’t Hoog, Abiola Alege, Anne Lia Cremers, Tochi J. Okwor, René Gerrets |
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| Přispěvatelé: | APH - Aging & Later Life, APH - Global Health, Infectious diseases, Graduate School, Global Health, APH - Quality of Care, Anthropology of Health, Care and the Body (AISSR, FMG) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
sub-Saharan Africa
Adult Male medicine.medical_specialty Telemedicine Attitude of Health Personnel Physiology Cardiology MEDLINE Nigeria Pharmacy Community Pharmacy Services 030204 cardiovascular system & hematology Health Services Accessibility Medication Adherence Interviews as Topic 03 medical and health sciences 0302 clinical medicine Patient satisfaction parasitic diseases Internal Medicine medicine Humans 030212 general & internal medicine mHealth Aged Cause of death Aged 80 and over business.industry pharmacy-based care task shifting Focus Groups Middle Aged Focus group hypertension perceptions Blood pressure Patient Satisfaction Family medicine Hypertension Female Cardiology and Cardiovascular Medicine business Delivery of Health Care ORIGINAL PAPERS: Therapeutic aspects |
| Zdroj: | Journal of hypertension, 37(2), 389-397. Lippincott Williams and Wilkins Journal of hypertension, 37(2), 389-397. Lippincott Williams & Wilkins Journal of Hypertension |
| ISSN: | 0263-6352 |
| Popis: | Background: In sub-Saharan Africa, cardiovascular disease is becoming a leading cause of death, with high blood pressure as number one risk factor. In Nigeria, access and adherence to hypertension care are poor. A pharmacy-based hypertension care model with remote monitoring by cardiologists through mHealth was piloted in Lagos to increase accessibility to quality care for hypertensive patients.Objectives: To describe patients’ and healthcare providers’ perceptions and practices regarding hypertension, pharmacy-based care, and mHealth and explore how this information may improve innovative hypertension service delivery.Methods: This study consisted of observations of patient–pharmacy staff interactions and hypertension care provided, four focus group discussions and in-depth interviews with 30 hypertensive patients, nine community pharmacists, and six cardiologists, and structured interviews with 328 patients.Results: Most patients were knowledgeable about biomedical causes and treatment of hypertension, but often ignorant about the silent character of hypertension. Reasons mentioned for not adhering to treatment were side effects, financial constraints, lack of health insurance, and cultural or religious reasons. Pharmacists additionally mentioned competition with informal, cheaper healthcare providers. Patients highly favored pharmacy-based care, because of the pharmacist–patient relationship, accessibility, small-scale, and a pharmacy's registration at an association. The majority of respondents were positive towards mHealth.Conclusion: Facilitating factors for innovative pharmacy-based hypertension care were: patients’ biomedical perceptions, pharmacies’ strong position in the community, and respondents’ positive attitude towards mHealth. We recommend health education and strengthening pharmacists’ role to address barriers, such as misperceptions that hypertension always is symptomatic, treatment nonadherence, and unfamiliarity with mHealth. Future collaboration with insurance providers or other financing mechanisms may help diminish patients’ financial barriers to appropriate hypertension treatment. |
| Databáze: | OpenAIRE |
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