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Barriers in the Transition of Care for Heart Failure Patients Attending Clinics in Mwanz. City, Tanz.nia

World Journal of Cardiovascular Diseases 2023年第2期13卷 92-104页

作者： Bahati M. K. Wajanga Christine Y. Kim Brandon A. Knettel Adnan Juma Neema Kayange Evarist B. Msaki Deodatus Mabula audax z. malulu Robert N. Peck John A. Bartlett Charles Muiruri Department of Internal Medicine Bugando Medical Centre Mwanza Tanzania Department of Internal Medicine Catholic University of Health and Allied Sciences—Bugando Mwanza Tanzania Department of Population Health Sciences Duke University School of Medicine Durham NC USA Department of Health Policy and Management University of North Carolina at Chapel Hill Chapel Hill NC USA Duke Global Health Institute Duke University Durham NC USA School of Nursing Duke University Durham NC USA Kilimanjaro Christian Medical University College Moshi Tanzania Department of Pediatrics Weill Bugando School of Medicine Catholic University of Health and Allied Sciences Mwanza United Republic of Tanzania Research and Consultancy Unit Bugando Medical Centre Mwanza Tanzania Division of Hospital Medicine Department of Internal Medicine Weill Cornell Medical College New York City USA Center for Global Health Department of Internal Medicine Weill Cornell Medical College New York City USA

Introduction: Transition of care strategies have shown to improve quality of lives of heart failure patients, but it has little implemented in clinical settings. Objective: To evaluate context-specific perceived barriers and experiences of heart failure patients during their admission and after they were discharged from hospital. Methods: A cross-sectional qualitative study was conducted among 13 heart failure patients at two large referral hospitals in northwestern Tanz.nia. In-depth interviews among heart failure patients, in line with the Consolidated Criteria for Reporting Qualitative research checklist, were used to collect data. Interviews were audio recorded, transcribed, and translated into English. Results: Three key barriers were identified, as well as possible solutions that could improve the transition of care for heart failure patients. These include strengthening healthcare provider communications, organiz.ng medication management, and assisting with follow-up appointments. Conclusion: The barriers identified are real and challenging in clinical resource- limited settings. Findings suggest they can be overcome when realistic and tailor-made interventions are in place.

关键词： Heart Failure in Tanz.nia Barrier Transition of Care

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