Abstract:
OBJECTIVES:Socioeconomically deprived individuals with renal disease are less likely to receive a live-donor kidney transplant than less-deprived individuals. This qualitative study aimed to identify reasons for the observed socioeconomic disparity in live-donor kidney transplantation. DESIGN:A qualitative study using face-to-face in-depth semistructured interviews. SETTING:A UK tertiary renal referral hospital and transplant centre. PARTICIPANTS:Purposive sampling was used to select deceased-donor transplant recipients from areas of high socioeconomic deprivation (SED) (19 participants), followed by a low SED comparison group (13 participants), aiming for maximum diversity in terms of age, gender, ethnicity, primary renal disease and previous renal replacement therapy. METHODS:Participants were interviewed following their routine transplant clinic review. Interviews were digitally audio-recorded and transcribed verbatim. Transcripts were coded using NVivo software and analysed using the constant comparison method described in Grounded Theory. RESULTS:Themes common and distinct to each socioeconomic group emerged. 6 themes appeared to distinguish between individuals from areas of high and low SED. 4 themes were distinct to participants from areas of high SED: (1) Passivity, (2) Disempowerment, (3) Lack of social support and (4) Short-term focus. 2 themes were distinct to the low SED group: (1) Financial concerns and (2) Location of donor. CONCLUSIONS:Several of the emerging themes from the high SED individuals relate to an individual's lack of confidence and skill in managing their health and healthcare; themes that are in keeping with low levels of patient activation. Inadequate empowerment of socioeconomically deprived individuals by healthcare practitioners was also described. Financial concerns did not emerge as a barrier from interviews with the high SED group. Interventions aiming to redress the observed socioeconomic inequity should be targeted at both patients and clinical teams to increase empowerment and ensure shared decision-making.
journal_name
BMJ Openjournal_title
BMJ openauthors
Bailey PK,Ben-Shlomo Y,Tomson CR,Owen-Smith Adoi
10.1136/bmjopen-2015-010605subject
Has Abstractpub_date
2016-03-02 00:00:00pages
e010605issue
3issn
2044-6055pii
bmjopen-2015-010605journal_volume
6pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:We conducted a systematic survey of the methodological literature to identify recommended approaches for how and what randomised clinical trial (RCT) authors should report on missing participant data and, on the basis of these approaches, to propose guidance for RCT authors. METHODS:We defined missing parti...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-008431
更新日期:2015-12-30 00:00:00
abstract::Background Mini-sternotomy for isolated aortic valve replacement aims to reduce operative trauma hastening recovery and improving the cosmetic outcome of cardiac surgery. The short-term clinical benefits from the mini-sternotomy are presumed to arise because the incision is less extensive and the lower half of the che...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000266
更新日期:2011-11-24 00:00:00
abstract:INTRODUCTION:Although studies showed that physical activity (PA) and sedentary behaviour (SB) were associated with cardiometabolic risk factors and cognitive function, both independent and combined associations among them are inconsistent. Cardiometabolic risk factors are also associated with cognitive function, but re...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030322
更新日期:2019-10-31 00:00:00
abstract:INTRODUCTION:Emergence delirium (ED) is a common adverse manifestation after general anaesthesia and may result in undesirable consequences. Its causes and mechanisms are diverse and complex, and it is still unavoidable in clinical work. There is a high incidence of ED after otorhinolaryngology surgery, which may resul...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033803
更新日期:2020-08-26 00:00:00
abstract:OBJECTIVES:To examine barriers and facilitators to sustaining a sexual health continuous quality improvement (CQI) programme in clinics serving remote Aboriginal communities in Australia. DESIGN:Qualitative study. SETTING:Primary health care services serving remote Aboriginal communities in the Northern Territory, Au...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026679
更新日期:2019-05-05 00:00:00
abstract:INTRODUCTION:Whether acupuncture is efficacious for patients with functional dyspepsia is still controversial. So we designed a randomised controlled trial to settle the problem. METHODS AND ANALYSIS:We designed a multicentre, two-arm, sham-controlled clinical trial. 200 participants with functional dyspepsia will be ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003377
更新日期:2013-07-30 00:00:00
abstract:INTRODUCTION:Malnutrition among children is a serious public health problem in the aftermath of any natural disaster. We will review the various nutrition interventions for children aged <5 years in countries where natural disasters occurred and analyse the effect on nutrition-related outcomes. METHODS AND ANALYSIS:We...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009525
更新日期:2015-11-30 00:00:00
abstract:INTRODUCTION:Low back pain (LBP) is a leading cause of disability associated with high healthcare utilisation and costs. Mental health symptoms are negative prognostic factors for LBP recovery; however, no population-based studies have assessed the joint effects of LBP and mental health symptoms on healthcare utilisati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031749
更新日期:2019-09-27 00:00:00
abstract:OBJECTIVES:We assessed the evidence from reviews and meta-analyses of randomised clinical trials on the effects of pharmacological prevention and management of delirium in intensive care unit (ICU) patients. METHODS:We searched for reviews in July 2017 in: Cochrane Library, MEDLINE, Embase, Science Citation Index, BIO...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024562
更新日期:2019-02-19 00:00:00
abstract:OBJECTIVE:To map out the current provision of interventional oncology (IO) services in the UK. DESIGN:Cross-sectional multicentre study. SETTING:All National Health Service (NHS) trusts in England and Scottish, Welsh and Northern Ireland health boards. PARTICIPANTS:Interventional radiology (IR) departments in all NH...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016631
更新日期:2017-10-22 00:00:00
abstract:INTRODUCTION:Current international guidelines recommend non-vitamin K oral anticoagulants (NOACs) for stroke prevention among patients with non-valvular atrial fibrillation (AF) at significant ischaemic stroke risk given the superior safety and comparable efficacy of NOACs over warfarin. Nonetheless, the safety and eff...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038194
更新日期:2020-09-25 00:00:00
abstract:OBJECTIVES:To evaluate the utility of different symptoms, alone or combined, presented to primary care for an adult brain tumour diagnosis. DESIGN AND SETTING:Matched case-control study, using the data from Clinical Practice Research Datalink (2000-2014) from primary care consultations in the UK. METHOD:All presentat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029686
更新日期:2019-08-30 00:00:00
abstract:OBJECTIVES:To identify vulnerable cardiovascular patients in the hospital using a self-reported function-based screening tool. PARTICIPANTS:Prospective observational cohort study of 445 individuals aged ≥ 65 years admitted to a university medical centre hospital within the USA with acute coronary syndrome and/or decom...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008122
更新日期:2015-08-27 00:00:00
abstract:AIM:Providing an overview of the neuropsychological tests used in Italian memory clinics (defined as Centers for Cognitive Disorders and Dementias-CCDD in Italy) for the diagnosis of cognitive disorders and dementias. METHODS:A total of 501 CCDD, out of all 536 active CCDD, were surveyed between February 2014 and Augu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017847
更新日期:2018-03-28 00:00:00
abstract:INTRODUCTION:Depression is associated with negative patient outcomes for chronic diseases and likely affects consistent physical non-communicable diseases (NCDs) care management in relation to clinic attendance and medication adherence. We found no published studies on the integration of depression management in physic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021601
更新日期:2018-10-15 00:00:00
abstract:OBJECTIVES:There has been little research conducted to understand the essential meaning of quality, community-based, end-of-life (EOL) care, despite the expansion of these services. The purpose of this study was to define what matters most for EOL care from the perspective of a diverse range of palliative care provider...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007492
更新日期:2015-06-29 00:00:00
abstract:OBJECTIVES:This study aims to describe the association between use of municipality healthcare services before an emergency department (ED) contact and mortality, hospital reattendance and institutionalisation. DESIGN:Population-based prospective cohort study. SETTING:ED of a large university hospital. PARTICIPANTS:A...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026881
更新日期:2019-04-24 00:00:00
abstract:OBJECTIVES:To estimate the prevalence of sleepiness on duty among day workers and watchkeepers on board. DESIGN:Cross-sectional survey in a maritime field study. SETTING:10 shipping companies with container vessels under German management. PARTICIPANTS:The whole crew (75 day workers and 123 watchkeepers) during 18 v...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028449
更新日期:2019-07-09 00:00:00
abstract:OBJECTIVE:To determine anticoagulant therapy at hospital discharge for patients with acute venous thromboembolism (VTE) and secondarily, to describe factors affecting choice of therapy. DESIGN:A retrospective chart review. SETTING:Canadian hospitals in Edmonton, Alberta (n=4), Regina, Saskatchewan (n=2) and rural Alb...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-022065
更新日期:2018-10-31 00:00:00
abstract:INTRODUCTION:International prevalence rates for problem gambling are estimated at 2.3%. Problem gambling is a serious global public health concern due to adverse personal and social consequences. Previous research evaluating the effectiveness of psychological interventions for the treatment of problem gambling has been...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2015-009385
更新日期:2015-11-24 00:00:00
abstract:OBJECTIVES:To explore perceptions of superslims packaging, including compact 'lipstick' packs, in line with 3 potential impacts identified within the impact assessment of the European Union (EU) Tobacco Products Directive: appeal, harm perceptions and the seriousness of warning of health risks. DESIGN:Qualitative focu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010102
更新日期:2016-01-08 00:00:00
abstract:OBJECTIVES:To explore views of all stakeholders (patients, optometrists, general practitioners (GPs), commissioners and ophthalmologists) regarding the operation of community-based enhanced optometric services. DESIGN:Qualitative study using mixed methods (patient satisfaction surveys, semi-structured telephone interv...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011934
更新日期:2016-10-25 00:00:00
abstract:INTRODUCTION:Rheumatoid arthritis (RA) and ankylosing spondylitis (AS) are chronic, systemic, inflammatory diseases, primarily in the musculoskeletal system. Pain and fatigue are key symptoms of RA and AS. Treatment presents a clinical challenge for several reasons, including the progressive nature of the diseases and ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028197
更新日期:2019-06-04 00:00:00
abstract:OBJECTIVES:Few studies of tornado injuries have considered differences related to damage levels and Enhanced-Fujita (EF) scale ratings. This study aimed to evaluate the pattern, spectrum and geographical distribution of injuries related to the Yancheng tornado and provide guidelines for effective emergency medical stra...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-021552
更新日期:2018-06-22 00:00:00
abstract:OBJECTIVES:To determine the prevalence of intimate partner violence (IPV) in pregnancy and to understand associations and determinants. DESIGN:Cross-sectional survey. SETTING:Two rural health clinics in post-conflict northern Uganda. PARTICIPANTS:Women attending two rural health clinics for a new service providing c...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-027541
更新日期:2019-11-26 00:00:00
abstract:OBJECTIVE:Despite the increasing numbers of published trials of quality improvement (QI) interventions in diabetes, little is known about the risk of bias in this literature. DESIGN:Secondary analysis of a systematic review. DATA SOURCES:Medline, the Cochrane Effective Practice and Organisation of Care (EPOC) databas...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002727
更新日期:2013-04-09 00:00:00
abstract:OBJECTIVE:To investigate the association between ambient air pollution and stroke morbidity in different subgroups and seasons. METHODS:We performed a time-series analysis based on generalised linear models to study the short-term exposure-response relationships between air pollution and stroke hospitalisations, and c...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032974
更新日期:2020-03-19 00:00:00
abstract:OBJECTIVE:Timely access to care and continuity with a specific provider are important determinants of patient satisfaction when booking appointments in primary care settings. Advanced access booking systems restrict the majority of providers' appointment spots for same-day appointments and keep the number of prebooked ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-023578
更新日期:2019-03-23 00:00:00
abstract:OBJECTIVES:To explore patterns of non-communicable diseases (NCDs) in the Australian Capital Territory (ACT).To ascertain the effect of the neighbourhood built environmental features and especially walkability on health outcomes, specifically for hospital admissions from NCDs. DESIGN:A cross-sectional analysis of publ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012548
更新日期:2016-12-08 00:00:00
abstract:OBJECTIVE:Olanzapine is an atypical antipsychotic drug commonly used for the treatment of schizophrenia. However, there are still many complications associated with the use of olanzapine, and researchers continually strive to improve the handling of data from regular therapeutic drug monitoring (TDM). The objective of ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020070
更新日期:2018-08-17 00:00:00