Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos?

Mercado-Martínez, Francisco Javier; Hernández-Ibarra, Eduardo; Ascencio-Mera, Carlos D.; Díaz-Medina, Blanca Alejandra; Padilla-Altamira, César; Kierans, Ciara

doi:10.1590/0102-311x00150713

Cited by 18 publications

(21 citation statements)

References 30 publications

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“…These participants reported that what they were living after transplantation was different than health professionals had promised, such as reducing costs, returning to a normal life and achieving an improved quality of life, due the impossibility to continue treatment, in particular, as a result of economic difficulties. Thus, the fear of rejecting the organ due to the absence of immunosuppressive drugs afflicted the people involved in the study (18) .…”

Section: [] I Can't Go To the Beach I Can Go But I Have To Stay Imentioning

confidence: 99%

Foi/não foi tudo o que pensava: facilidades e dificuldades após o transplante renal

Santos

Viegas

Feijó

et al. 2016

Rev. Gaúcha Enferm.

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Section: [] I Can't Go To the Beach I Can Go But I Have To Stay Imentioning

confidence: 99%

Foi/não foi tudo o que pensava: facilidades e dificuldades após o transplante renal

Santos

Viegas

Feijó

et al. 2016

Rev. Gaúcha Enferm.

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“…50% of the population) were enrolled in Seguro Popular (Comisión Nacional de Protección Social en Salud, 2012). However, the plan excluded coverage for the most expensive health conditions, including CKD (Mercado-Martínez et al, 2014).…”

Section: Healthcare Systems and Renal Care In Two Developing Countriesmentioning

confidence: 99%

A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers

2016

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Renal replacement therapy is the indicated treatment for individuals with chronic kidney disease (CKD) to survive. However, not all sick people have access to the same treatment. This study compares renal care in two developing countries with different health systems. Specifically, it explores hemodialysis treatment from the perspective of low-income individuals. A qualitative, comparative study was performed in Brazil and Mexico. Using purposive sampling, the research was based on open-ended interviews with nineteen participants with kidney failure undergoing hemodialysis treatment in public hospitals and ten relatives. According to our results, Brazilian participants perceived hemodialysis care as satisfactory because of health personnel courtesy as well as free access to dialysis treatment, prescription drugs, hospitalization and transportation. However, they reported deficiencies in the care they were receiving due to shortages of specialists, prescription drugs, laboratory tests and transportation. Mexican participants, in contrast, highlighted the catastrophic costs of medical care because they had no free access to renal therapy, nor adequate financial resources. Our findings suggest that low-income Brazilian CKD sufferers experience renal care differently, as they are more satisfied and face less obstacles with hemodialysis compared with those of Mexico. More studies on the topic are needed.

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“…The increased incidence and prevalence of CKD leads to increased demand for the services offered by the health system, which, to date, have been documented as insufficient, and have even been excluded from a significant number of renal patients (Carrillo-Larco;Bernabé-Ortíz, 2018;Mercado-Martínez;Correa-Maurício, 2015;Roberti et al, 2018), since they generated inequities in accessing services, where access is understood as 'the degree to which individuals or groups of individuals have the ability to obtain the necessary care of the provided medical care' (Laurell, 2016;López-Arellano;Jarillo-Soto, 2017). Not to mention the increase in the economic, social and emotional costs implied by this suffering (Díaz-Medina; Mercado-Martínez, 2019; Mercado-Martínez; Hernández-Ibarra, 2016).…”

Section: Introductionmentioning

confidence: 99%

Barreras estructurales en la atención nutricia a personas con enfermedad renal crónica en México

et al. 2020

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Resumen Este trabajo se propone describir las barreras estructurales que el personal de salud identifica para brindar atención nutricia a personas con enfermedad renal crónica (ERC). Se llevó a cabo un estudio cualitativo en la ciudad de San Luis Potosí, México. Se entrevistó a 21 profesionales de salud (nutriólogos, enfermeras y nefrólogos) que trabajan en unidades de hemodiálisis. Se realizó un análisis crítico del discurso. Los participantes del estudio señalan diversas barreras estructurales que obstaculizan la inclusión de la terapia nutricional en el tratamiento de la ERC: la falta de cobertura universal de salud en México, lo que genera que no todas las personas con ERC accedan a un tratamiento nutricio; la infraestructura inadecuada en las unidades de hemodiálisis, donde los nutriólogos carecen de un espacio físico para dar consulta o asesoría; la ausencia de normativa y protocolos para la atención nutricia y; la falta de recursos humanos en nutrición especializados en ERC. Como conclusión, se destaca que la atención nutricia para los enfermos renales en México es incipiente y poco sistematizada. Se requiere instituir una atención universal, así como modificar la normativa nacional para incluir al personal de nutrición especializado en el tratamiento interdisciplinar en beneficio de quienes padecen dicha enfermedad.

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Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos?

Cited by 18 publications

References 30 publications

Foi/não foi tudo o que pensava: facilidades e dificuldades após o transplante renal

Foi/não foi tudo o que pensava: facilidades e dificuldades após o transplante renal

A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers

Barreras estructurales en la atención nutricia a personas con enfermedad renal crónica en México

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