PMID- 24125934
OWN - NLM
STAT- MEDLINE
DCOM- 20140313
LR  - 20220330
IS  - 0019-557X (Print)
IS  - 0019-557X (Linking)
VI  - 57
IP  - 3
DP  - 2013 Jul-Sep
TI  - Reasons for default from treatment of chronic illnesses in a primary healthcare 
      program in rural Tamil Nadu.
PG  - 173-6
LID - 10.4103/0019-557X.119821 [doi]
AB  - Chronic illnesses are an increasing cause of morbidity and mortality in rural 
      India. Many patients default from treatment, and exploring their reasons for the 
      same may suggest strategies to improve service accessibility and acceptability. A 
      qualitative study was conducted of 22 patient interviews, six key informant 
      interviews, and two patient focus group discussions for investigating the reasons 
      for default at the KC Patty Primary Health Centre and surrounding villages in 
      Kodaikanal Taluk, Dindigul district, Tamil Nadu. The reasons included money or 
      transport difficulties, frequent travel, feeling healthy, focus on work, fear of 
      scolding from clinic staff, medication side effects, preference for alternative 
      therapy, and depression. Some reasons were only divulged after an extended 
      discussion. Support from families and village-level health workers (VLHWs) were 
      also identified as important. Recommendations include more open and patient 
      communication between health workers and defaulting patients, in addition to 
      recruitment of more VLHWs.
FAU - Jennens, Henry R
AU  - Jennens HR
AD  - Medical Student, Nossal Institute for Global Health, University of Melbourne, 
      Carlton, Australia.
FAU - Ramasamy, Rajkumar
AU  - Ramasamy R
FAU - Tenni, Brigitte
AU  - Tenni B
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Public Health
JT  - Indian journal of public health
JID - 0400673
SB  - IM
MH  - Chronic Disease/*therapy
MH  - Female
MH  - Focus Groups
MH  - Humans
MH  - India
MH  - Male
MH  - Patient Compliance/*psychology
MH  - Patient Dropouts/*psychology/statistics & numerical data
MH  - *Primary Health Care
MH  - Professional-Patient Relations
MH  - Qualitative Research
MH  - Rural Population/*statistics & numerical data
EDAT- 2013/10/16 06:00
MHDA- 2014/03/14 06:00
CRDT- 2013/10/16 06:00
PHST- 2013/10/16 06:00 [entrez]
PHST- 2013/10/16 06:00 [pubmed]
PHST- 2014/03/14 06:00 [medline]
AID - IndianJPublicHealth_2013_57_3_173_119821 [pii]
AID - 10.4103/0019-557X.119821 [doi]
PST - ppublish
SO  - Indian J Public Health. 2013 Jul-Sep;57(3):173-6. doi: 10.4103/0019-557X.119821.