Exploring the impact of financial barriers on secondary prevention of heart disease

BMC Cardiovascular Disorders

Research Article

David J. T. Campbell¹  Braden J. Manns²  Brenda R. Hemmelgarn²  Kirnvir K. Dhaliwal³  Kathryn King-Shier⁴  James A. Stone⁵ 

[1] Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;Department of Medicine, Cumming School of Medicine, University of Calgary, Health Sciences Centre, G236, 3330 Hospital Drive NW, T2N 1 N4, Calgary, AB, Canada;Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;O’Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada;Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada;Department of Medicine, Cumming School of Medicine, University of Calgary, Health Sciences Centre, G236, 3330 Hospital Drive NW, T2N 1 N4, Calgary, AB, Canada;Faculty of Nursing, University of Calgary, Calgary, AB, Canada;Faculty of Nursing, University of Calgary, Calgary, AB, Canada;Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;O’Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada;Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada;Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada;Department of Medicine, Cumming School of Medicine, University of Calgary, Health Sciences Centre, G236, 3330 Hospital Drive NW, T2N 1 N4, Calgary, AB, Canada;Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;

关键词: Coronary artery disease;    Secondary prevention;    Cardiac rehabilitation;    Qualitative research;    Financial barriers;   

DOI  :  10.1186/s12872-017-0495-4

 received in 2016-10-18, accepted in 2017-02-07,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundPatients with coronary artery disease experience various barriers which impact their ability to optimally manage their condition. Financial barriers may result in cost related non-adherence to medical therapies and recommendations, impacting patient health outcomes. Patient experiences regarding financial barriers remain poorly understood. Therefore, we used qualitative methods to explore the experience of financial barriers to care among patients with heart disease.MethodsWe conducted a qualitative descriptive study of participants in Alberta, Canada with heart disease (n = 13) who perceived financial barriers to care. We collected data using semi-structured face-to-face or telephone interviews inquiring about patients experience of financial barriers and the strategies used to cope with such barriers. Multiple analysts performed inductive thematic analysis and findings were bolstered by member checking.ResultsThe aspects of care to which participants perceived financial barriers included access to: medications, cardiac rehabilitation and exercise, psychological support, transportation and parking. Some participants demonstrated the ability to successfully self-advocate in order to effectively navigate within the healthcare and social service systems.ConclusionFinancial barriers impacted patients’ ability to self-manage their cardiovascular disease. Financial barriers contributed to non-adherence to essential medical therapies and health recommendations, which may lead to adverse patient outcomes. Given that it is such a key skill, enhancing patients’ self-advocacy and navigation skills may assist in improving patient health outcomes.

【 授权许可】

CC BY   
© The Author(s). 2017