SciELO - Scientific Electronic Library Online

 
vol.33 issue10Coverage by health insurance or discount cards: a household survey in the coverage area of the Family Health StrategyCharacteristics and factors associated with hospitalization in early childhood: 2004 Pelotas (Brazil) birth cohort author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Cadernos de Saúde Pública

On-line version ISSN 1678-4464

Abstract

MERCADO-MARTINEZ, Francisco Javier  and  LEVIN-ECHEVERRI, Rodolfo. Care for chronic kidney disease in Uruguay: the perspective of kidney transplant patients. Cad. Saúde Pública [online]. 2017, vol.33, n.10, e00160416.  Epub Oct 26, 2017. ISSN 1678-4464.  http://dx.doi.org/10.1590/0102-311x00160416.

This study examines renal care from the perspective of kidney transplant patients with chronic kidney disease (CKD), as well as their families. A qualitative study was performed in three cities of Uruguay. Using theoretical sampling, we selected 25 persons with CKD that were living with kidney transplants, in addition to five family members. Semi-structured interviews were held to explore the participants’ perspectives, as well as content analysis. Four thematic lines were constructed from the participants’ discourse: recognizing the successes of the system of care, the right to health, identifying problems in care, and formulating proposals for action. The system of care is rated as adequate, efficient, and high-quality by individuals living with kidney transplants who are young, employed, residing in the national capital of Montevideo, and covered by the private health sector. The opposite is true for retirees and pensioners, those with multiple morbidities, from inland Uruguay, covered by the public sector, and living in poverty. The participants also formulated proposals to solve the problems that were identified. In addition to acknowledging free and universal access to renal therapies to which patients feel they have the right, we conclude that kidney transplant patients assess the healthcare favorably and the agencies involved. Nevertheless, there are serious obstacles to accessing free, timely, and high-quality care. We recommend promoting strategies to incorporate proposals by patients and their families in order to improve such care and decrease social inequalities.

Keywords : Chronic Renal Insufficiency; Kidney Transplantation; Health Systems.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )