Perceived barriers and facilitators to chronic kidney disease care among patients in Singapore: a qualitative study.
Sun Joon HwangNgiap Chuan TanSungwon YoonChandrika RamakrishnanMuthulakshmi PaulpandiShihying GunJia Ying LeeZi Ying ChangTazeen Hasan JafarPublished in: BMJ open (2020)
We identified several barriers and facilitators to the management of predialysis CKD among patients. A multi-pronged approach for raising CKD awareness is required: improving patient-physician communication, implementing CKD workshops and home-visits and disseminating accurate online information about CKD. Strategies should also focus on increasing patient engagement and optimising family support by involving family members in patients' care. Furthermore, clear dietary recommendations and patient-specific advice are needed to empower patients to manage their own condition.
Keyphrases
- chronic kidney disease
- end stage renal disease
- healthcare
- ejection fraction
- newly diagnosed
- peritoneal dialysis
- palliative care
- emergency department
- social media
- quality improvement
- prognostic factors
- mental health
- high resolution
- case report
- health information
- social support
- mass spectrometry
- depressive symptoms
- clinical practice
- patient reported
- health insurance
- affordable care act