Responsive and Equitable Health Systems-Partnership on Non-Communicable Diseases (RESPOND) study: a mixed-methods, longitudinal, observational study on treatment seeking for hypertension in Malaysia and the Philippines.
Responsive and Equitable Health Systems-Partnership on Non-Communicable Diseases (RESPOND) study: a mixed-methods, longitudinal, observational study on treatment seeking for hypertension in Malaysia and the Philippines.
复制标题
DOI：
10.1136/bmjopen-2018-024000
复制
发表时间：
2018-07-30
期刊：
影响因子：
2.9
通讯作者：
Balabanova D
中科院分区：
文献类型：
--
作者：
Palafox B;Seguin ML;McKee M;Dans AL;Yusoff K;Candari CJ;Idris K;Ismail JR;Krauss SE;Lasco G;Majid FA;Palileo-Villanueva LM;Razak AA;Renedo A;Balabanova D
高血压是全球疾病负担的主要贡献者。虽然存在安全和有效的治疗，但许多国家的血压控制很差，这往往反映出卫生系统和服务层面以及患者社会文化背景这一更广泛层面的障碍。本研究探讨这些如何相互作用，以促进或阻碍高血压控制，考虑到服务提供的组成部分和社会背景的特点。这项研究在马来西亚和菲律宾进行，建立在对有效高血压管理障碍的两项系统性综述的基础上。将在每个国家24-30个社区的贫困家庭中查明高血压患者（既有高血压患者，也有新诊断的高血压患者）。将使用定量和定性方法来研究他们寻求和获得护理的经验和途径。其中包括两波住户调查，每个社区有20-25人参加，间隔12-18个月，（包括因寻求健康活动和无法工作而产生的费用（每个社区5人）），一年内对高血压成年人进行初步和后续深入访谈和数字日记（每个国家40个，采用创新的移动的电话技术），与研究参与者进行重点小组讨论，对卫生设施（包括正式和非正式提供者）进行结构化评估。伦敦卫生和热带医学学院的观察研究伦理委员会以及马来西亚普特拉大学和菲律宾马尼拉大学的研究伦理委员会已授予伦理批准。项目小组将传播调查结果，并与广泛的利益攸关方接触，以促进采用和影响。除了在高影响力期刊上发表文章外，传播活动还包括全面的利益相关者分析，与传统媒体和社交媒体的互动，以及与研究参与者共同制作的“数字故事”。
Hypertension is a leading contributor to the global burden of disease. While safe and effective treatment exists, blood pressure control is poor in many countries, often reflecting barriers at the levels of health systems and services as well as at the broader level of patients’ sociocultural contexts. This study examines how these interact to facilitate or hinder hypertension control, taking into account characteristics of service provision components and social contexts. The study, set in Malaysia and the Philippines, builds on two systematic reviews of barriers to effective hypertension management. People with hypertension (pre-existing and newly diagnosed) will be identified in poor households in 24–30 communities per country. Quantitative and qualitative methods will be used to examine their experiences of and pathways into seeking and obtaining care. These include two waves of household surveys of 20–25 participants per community 12–18 months apart, microcosting exercises to assess the cost of illness (including costs due to health seeking activities and inability to work (5 per community)), preliminary and follow-up in-depth interviews and digital diaries with hypertensive adults over the course of a year (40 per country, employing an innovative mobile phone technology), focus group discussions with study participants and structured assessments of health facilities (including formal and informal providers). Ethical approval has been granted by the Observational Research Ethics Committee at the London School of Hygiene and Tropical Medicine and the Research Ethics Boards at the Universiti Putra Malaysia and the University of the Philippines Manila. The project team will disseminate findings and engage with a wide range of stakeholders to promote uptake and impact. Alongside publications in high-impact journals, dissemination activities include a comprehensive stakeholder analysis, engagement with traditional and social media and ‘digital stories’ coproduced with research participants.
登录
查看更多内容
影响因子：
3.4
作者：
Gaziano, C
通讯作者：
Gaziano, C
影响因子：
7.7
作者：
Lloyd-Sherlock P;Beard J;Minicuci N;Ebrahim S;Chatterji S
通讯作者：
Chatterji S
影响因子：
3.4
作者：
Balabanova, Dina;Roberts, Bayard;McKee, Martin
通讯作者：
McKee, Martin
影响因子：
2.8
作者：
Gee, Marianne E.;Campbell, Norm;Zhang, Xin-Hua
通讯作者：
Zhang, Xin-Hua
影响因子：
11.1
作者：
O'Neill, Kathryn;Takane, Marina;Boerma, Ties
通讯作者：
Boerma, Ties