Strategies to address perceived barriers to timely kidney transplantation in the Netherlands:A qualitative study from a stakeholders' perspective

Objective: We present strategies to perceived barriers to access to kidney transplantation (KT) in the Netherlands. Methods: This qualitative study (N = 70) includes nephrologists, social workers, surgeons, nurses, patients, former living kidney donors, policy employees, and insurance representatives. Interviews were conducted both in focus groups and individually and coded with NVivo. Results: Participants proposed strategies within five domains. 1.Policy: Making KT guideline more visible. 2.Medical: Increase access and transparency to KT medical eligibility criteria (e.g., age, BMI) for pati... Mehr ...

Verfasser: van Merweland, Ruben
Busschbach, Jan
van de Wetering, Jacqueline
Ismail, Sohal
Dokumenttyp: Artikel
Erscheinungsdatum: 2023
Reihe/Periodikum: van Merweland , R , Busschbach , J , van de Wetering , J & Ismail , S 2023 , ' Strategies to address perceived barriers to timely kidney transplantation in the Netherlands : A qualitative study from a stakeholders' perspective ' , PEC Innovation , vol. 3 , 100236 . https://doi.org/10.1016/j.pecinn.2023.100236
Schlagwörter: /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being / name=SDG 3 - Good Health and Well-being
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27225255
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://pure.eur.nl/en/publications/72da6876-57a8-4269-a8dc-334e9881ca18

Objective: We present strategies to perceived barriers to access to kidney transplantation (KT) in the Netherlands. Methods: This qualitative study (N = 70) includes nephrologists, social workers, surgeons, nurses, patients, former living kidney donors, policy employees, and insurance representatives. Interviews were conducted both in focus groups and individually and coded with NVivo. Results: Participants proposed strategies within five domains. 1.Policy: Making KT guideline more visible. 2.Medical: Increase access and transparency to KT medical eligibility criteria (e.g., age, BMI) for patients and healthcare providers. 3.Psychological: Support patients who continue to use dialysis because of social interaction opportunities associated with dialysis settings to find such interaction elsewhere. Link kidney patients with fears for KT to experienced experts or trained professionals. 4.Social: Support patients with language barriers with interpreters and visual explanations. Support patients using social media, e.g. Facebook, to identify potential donors. Better expectation management to reduce reports of inadequate aftercare for living donors. 5.Economical: Solving negative economic incentives for KT by changing incentives. Conclusion: Stakeholders see strategies for barriers in the entire care pathway. Innovation: This large qualitative study gives an important overview which strategies stakeholders see improving access to KT. Some strategies offer opportunities to solve barriers in the short-term.