Factors affecting healthcare pathways for chronic lung disease management in Vietnam: a qualitative study on patients’ perspectives
| Autor: | Thao H Nguyen, Nhung Phuong Doan, Shannon McKinn, Joel Negin, Yen Ngoc Pham, Giap Van Vu, Sarah Bernays, Thu Anh Nguyen, Toan Thanh Do, Guy B. Marks, Greg J. Fox |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Health Services Accessibility 1117 Public Health and Health Services 03 medical and health sciences Social support Pulmonary Disease Chronic Obstructive 0302 clinical medicine Epidemiology Health care Medicine Humans COPD 030212 general & internal medicine Lung Qualitative Research Asthma business.industry Public health Research Public Health Environmental and Occupational Health Disease Management medicine.disease 030228 respiratory system Vietnam Family medicine Health education Health Facilities Biostatistics Public aspects of medicine RA1-1270 business Healthcare pathway |
| Zdroj: | BMC Public Health, Vol 21, Iss 1, Pp 1-13 (2021) BMC Public Health |
| ISSN: | 1471-2458 |
| Popis: | BackgroundChronic obstructive pulmonary disease (COPD) and asthma rank among the leading causes of respiratory morbidity, particularly in low- and middle-income countries. This qualitative study aimed to explore the healthcare pathways of patients with chronic respiratory disease, and factors influencing their ability to access healthcare in Vietnam, where COPD and asthma are prevalent.MethodsWe conducted 41 in-depth interviews among patients, including 31 people with COPD, eight with asthma and two with asthma-COPD overlap syndrome. Participants were recruited at provincial- or national-level health facilities in two urban and two rural provinces in Vietnam. The interviews were audio-recorded, transcribed, and analysed using thematic analysis.ResultsPatients’ healthcare pathways were complex and involved visits to multiple health facilities before finally obtaining a definitive diagnosis at a provincial- or national-level hospital. Access to healthcare was affected considerably by participants’ limited knowledge of their respiratory conditions, the availability of social support, especially from family members, the costs of healthcare as well as health system factors (including the coverage of public health insurance, the distance to health facilities, and attitude of healthcare providers).ConclusionThe study demonstrated the need for improved access to timely diagnosis and treatment of chronic lung disease within the lower level of the health system. This can be achieved by enhancing the communication skills and diagnostic capacity of local healthcare workers. Health education programmes for patients and caregivers will contribute to improved control of lung disease. |
| Databáze: | OpenAIRE |
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