Youtube hyperresearch12/13/2022 Participants’ quotations or raw data provided (picture, diary entries) Member checking (participant feedback on findings) #YOUTUBE HYPERRESEARCH SOFTWARE#Use of software (eg, NVivo, HyperRESEARCH, Atlas.ti) Researcher/expert triangulation (multiple researchers involved in coding and analysis)ĭerivation of themes or findings (eg, inductive, constant comparison) Presence of non-participants (eg, clinical staff)ĭuration of data collection (interview or focus group) Number and/or reasons for non-participation Relationship established prior to study commencement Occupation of the interviewee of facilitatorĮxperience or training in qualitative research 13 Non-English studies were excluded to avoid misinterpretation of linguistic and cultural nuances in translation. The definition and scope of access for this paper is based on the WHO definition, which included the opportunity to reach and obtain appropriate healthcare services in situations of perceived need for care and ‘includes the right to seek, receive and impart information and ideas concerning health issues’. We included all studies in which the authors have explicitly stated that patients in the original study were from areas 12 and there were no restrictions based on date of publication. We included all types of KRT to obtain a broad diversity of patients’ perspectives, and to understand the range of different barriers and challenges in accessing the different forms of KRT. Qualitative studies that described the experiences and perspectives of adult patients with CKD and caregivers (aged over 18 years) residing in a rural location, on access to KRT (dialysis or transplantation) in any geographical area were eligible. This study aims to describe the perspectives of patients and caregivers on access to KRT in rural communities to inform strategies to maximise access to quality care, and thereby reduce disadvantage, inequity and improve health outcomes. Synthesising evidence from multiple qualitative studies on patients’ perspectives on access to KRT can generate new and comprehensive insights across geographical settings and populations. 1 7 8 Also, they may also be less likely to be waitlisted for transplantation and take longer to be placed on the list due to difficulties in accessing screening tests and nephrologist appointments as required. For example, patients may not be able to do home haemodialysis because of the lack of training available in rural facilities or environmental factors such as limited access to sufficient and clean water. 6 Patients from a rural area may not be able to access their preferred option of KRT. 3–5īarriers to access include the burden of travelling long distances to clinical appointments and costs of accommodation. Patients with CKD residing outside of urban areas are less likely to access nephrology services and to receive the recommended testing, treatment and education about CKD including options for kidney replacement therapy (KRT). 1 2 This likely reflects barriers in accessing healthcare. Patients with chronic kidney disease (CKD) from rural communities have a higher risk of mortality, morbidity, hospitalisation and worse quality of life compared with patients with CKD in urban areas.
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