Challenges to the improvement of Colombian medical brigades aimed at the diagnosis of congenital heart disease: A qualitative approach
Autor: | Rodolfo Dennis, Daniela Palacio, Roberto Suárez, Miguel Ronderos, María Alejandra Rubio, Maria Teresa Dominguez, María Fernanda Olarte-Sierra |
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Rok vydání: | 2018 |
Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty Telemedicine Heart disease Beneficiary Observation Colombia Pediatrics 03 medical and health sciences 0302 clinical medicine Health care medicine Humans 030212 general & internal medicine Sociocultural evolution Socioeconomic status Qualitative Research Custodians Patient Care Team 030505 public health business.industry Public Health Environmental and Occupational Health medicine.disease Quality Improvement Caregivers Social Class Family medicine Female 0305 other medical science business Psychology Qualitative research |
Zdroj: | Global Public Health. 14:1193-1203 |
ISSN: | 1744-1706 1744-1692 |
Popis: | Qualitative research of brigades and the family experience of congenital heart disease is of current interest and has been previously neglected. This study aimed to explore the social factors conditioning outcomes of paediatric cardiology care in the setting of Colombian medical brigades and to identify feasible strategies to improve the experience of the beneficiary populations. Participants were selected using purposeful sampling. Semi-structured interviews were conducted with members of logistic and health care teams, caregivers and custodians of beneficiary children of the Programme. The data collected provided an understanding of the health culture, social background, household and intrafamily dynamics. The outcomes of the Programme are influenced by sociocultural dynamics such as communication gaps and the socioeconomic status of the beneficiary populations. Findings may be specific to brigades, but also cross-relevant to any family experience of a new diagnosis of Congenital Heart Disease (CHD) communicating with healthcare professionals. It is important to foresee the role and further development of the Programme. Recommendations are provided suggesting innovative work by means of telemedicine and other sociocultural measures to reduce healthcare inequity and strengthen comprehensive healthcare programmes. |
Databáze: | OpenAIRE |
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