A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers.
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.
Universidad de Guadalajara, Guadalajara, Jalisco, México.
Francisco J
FJ
Mercado-Martinez
Universidade Federal de Santa Catarina, Florianopolis, Santa Catarina, Brazil.
Denise Guerreiro V
DG
da Silva
Universidad de Guadalajara, Guadalajara, Jalisco, México.
Mauricio E
ME
Correa-Mauricio
D001938:Brazil; D003695:Delivery of Health Care; D003906:Developing Countries; D054625:Healthcare Disparities; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008800:Mexico; D017060:Patient Satisfaction; D011203:Poverty; D036301:Qualitative Research; D006435:Renal Dialysis / Q000191:economics* / Q000706:statistics & numerical data*
chronic illness; health inequity; health-care; inequalities in health; qualitative methods; service user perspectives