Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos?
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2014 |
| Outros Autores: | , , , , |
| Tipo de documento: | Artigo |
| Idioma: | spa |
| Título da fonte: | Cadernos de Saúde Pública |
| Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5598 |
Resumo: | Kidney transplant is the optimal treatment for renal disease according to biomedical criteria, but the technology is highly expensive. The aim of this article was to examine the economic hardships experienced by kidney transplant patients and the impact on their lives, specifically when they lack social protection in health. The article reports on a qualitative study conducted in Mexico. Twenty-one kidney transplant patients participated. Semi-structured interviews were performed and submitted to content analysis. Patients experience extreme economic hardship due to the high cost of renal therapies, particularly medicines. Such economic problems adversely affect their condition, since many patients report difficulties in maintaining their immunosuppressant medication, attending medical appointments, and curtailing household expenditures, further aggravated by loss of earnings. In conclusion, kidney transplantation is associated with patients’ impoverishment when they lack social protection in health. A protection system is urgently needed for this group. |
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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?Insuficiencia Renal CrónicaTrasplante de RiñonInequidad SocialKidney transplant is the optimal treatment for renal disease according to biomedical criteria, but the technology is highly expensive. The aim of this article was to examine the economic hardships experienced by kidney transplant patients and the impact on their lives, specifically when they lack social protection in health. The article reports on a qualitative study conducted in Mexico. Twenty-one kidney transplant patients participated. Semi-structured interviews were performed and submitted to content analysis. Patients experience extreme economic hardship due to the high cost of renal therapies, particularly medicines. Such economic problems adversely affect their condition, since many patients report difficulties in maintaining their immunosuppressant medication, attending medical appointments, and curtailing household expenditures, further aggravated by loss of earnings. In conclusion, kidney transplantation is associated with patients’ impoverishment when they lack social protection in health. A protection system is urgently needed for this group.El trasplante es el mejor tratamiento para la insuficiencia renal, de acuerdo con la biomedicina; sin embargo, es una tecnología cara. Este artículo examina las dificultades económicas y sus efectos en personas con trasplante renal, pero sin protección social en salud. Para el estudio se desarrolló una investigación cualitativa en México. Participaron 21 pacientes trasplantados; se aplicaron entrevistas semiestructuradas, y se realizó un análisis de contenido. Los resultados muestran que las personas enfermas enfrentan dificultades económicas, debido a los costes de las terapias renales, particularmente, de las medicinas. Todo ello tiene efectos negativos: las personas con pocos recursos dejan el tratamiento con medicamentos, abandonan el protocolo, no asisten a las consultas médicas y disminuyen los gastos domésticos, incluyendo el de alimentación; además de suponer una merma en los ingresos familiares. En conclusión, el trasplante renal empobrece a las personas enfermas sin protección social en salud; es urgente la implementación de un sistema de protección social para esta población.O transplante é o melhor tratamento para a insuficiência renal de acordo com a biomedicina; mas é uma tecnologia cara. Este artigo examina as dificuldades econômicas e os seus efeitos em pessoas com transplante renal, mas sem proteção social em saúde. Uma pesquisa qualitativa foi desenvolvida no México. Participaram 21 doentes transplantados; aplicaram-se entrevistas semiestruturadas, e foi realizada análise de conteúdo. Os resultados mostram que as pessoas doentes enfrentam dificuldades econômicas devido aos custos das terapias renais, particularmente das medicinas. Tudo isso tem efeitos negativos: as pessoas com poucos recursos abandonam o tratamento medicamentoso, deixam o protocolo, não comparecem às consultas médicas e diminuem as despensas domésticas, incluindo a comida; além da perda de ingressos. Em conclusão, o transplante renal empobrece as pessoas doentes sem proteção social em saúde; é urgente a implementação de um sistema de proteção social a esta populaçãoReports in Public HealthCadernos de Saúde Pública2014-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5598Reports in Public Health; Vol. 30 No. 10 (2014): OctoberCadernos de Saúde Pública; v. 30 n. 10 (2014): Outubro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5598/11613https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5598/11614Francisco Javier Mercado-MartínezEduardo Hernández-IbarraCarlos D. Ascencio-MeraBlanca A. Díaz-MedinaCesar Padilla-AltamiraCiara Kieransinfo:eu-repo/semantics/openAccess2024-03-06T15:28:47Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5598Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:24.961332Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
| dc.title.none.fl_str_mv |
Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos? |
| title |
Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos? |
| spellingShingle |
Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos? Francisco Javier Mercado-Martínez Insuficiencia Renal Crónica Trasplante de Riñon Inequidad Social |
| title_short |
Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos? |
| title_full |
Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos? |
| title_fullStr |
Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos? |
| title_full_unstemmed |
Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos? |
| title_sort |
Viviendo con trasplante renal, sin protección social en salud: ¿Qué dicen los enfermos sobre las dificultades económicas que enfrentan y sus efectos? |
| author |
Francisco Javier Mercado-Martínez |
| author_facet |
Francisco Javier Mercado-Martínez Eduardo Hernández-Ibarra Carlos D. Ascencio-Mera Blanca A. Díaz-Medina Cesar Padilla-Altamira Ciara Kierans |
| author_role |
author |
| author2 |
Eduardo Hernández-Ibarra Carlos D. Ascencio-Mera Blanca A. Díaz-Medina Cesar Padilla-Altamira Ciara Kierans |
| author2_role |
author author author author author |
| dc.contributor.author.fl_str_mv |
Francisco Javier Mercado-Martínez Eduardo Hernández-Ibarra Carlos D. Ascencio-Mera Blanca A. Díaz-Medina Cesar Padilla-Altamira Ciara Kierans |
| dc.subject.por.fl_str_mv |
Insuficiencia Renal Crónica Trasplante de Riñon Inequidad Social |
| topic |
Insuficiencia Renal Crónica Trasplante de Riñon Inequidad Social |
| description |
Kidney transplant is the optimal treatment for renal disease according to biomedical criteria, but the technology is highly expensive. The aim of this article was to examine the economic hardships experienced by kidney transplant patients and the impact on their lives, specifically when they lack social protection in health. The article reports on a qualitative study conducted in Mexico. Twenty-one kidney transplant patients participated. Semi-structured interviews were performed and submitted to content analysis. Patients experience extreme economic hardship due to the high cost of renal therapies, particularly medicines. Such economic problems adversely affect their condition, since many patients report difficulties in maintaining their immunosuppressant medication, attending medical appointments, and curtailing household expenditures, further aggravated by loss of earnings. In conclusion, kidney transplantation is associated with patients’ impoverishment when they lack social protection in health. A protection system is urgently needed for this group. |
| publishDate |
2014 |
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2014-10-01 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5598 |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5598 |
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spa |
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spa |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5598/11613 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5598/11614 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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text/html application/pdf |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health; Vol. 30 No. 10 (2014): October Cadernos de Saúde Pública; v. 30 n. 10 (2014): Outubro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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