How socioeconomic inequalities impact pathways of care for coronary artery disease. A qualitative study from the view of multimorbid elderly patients
- Conditions
- I25Chronic ischaemic heart disease
- Registration Number
- DRKS00007839
- Lead Sponsor
- Institut für Medizinische Soziologie, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 48
Inclusion Criteria
patients being treated at the at the University Hospital Halle/Saale, Department of Internal Medicine III (Cardiology and Angiology), aged 60-80 years old, with CAD as the principal or secondary diagnosis, and additionally one other principal or secondary diagnosis: stable angina pectoris, acute coronary syndrome or cardiac arrhythmia
Exclusion Criteria
insufficient language skills to conduct an interview in German language, other heart diseases excluding CAD, and/or moribund patients
Study & Design
- Study Type
- observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The Interviews will be conducted face-to-face using guided interviews. The themes of the interviews will be the medical history, positive and negative experiences gained concerning the received care, the perceived quality of the treatment and the management of the heart disease. The aim is to answer the following research questions:<br>1.What impact do socioeconomic inequalities have on the access to, and the utilization and quality of healthcare services during the particular stages of healthcare for CAD patients?<br>2.Can specific factors and mechanisms be identified that lead to inequality of health-care? <br>3.How do socioeconomic inequalities interact and accumulate over the course of treatment and care?<br>
- Secondary Outcome Measures
Name Time Method After 6 months face-to-face Interviews using a interview-guided will be conducted. The themes of the interviews will be the progressing of the treatment, positive and negative experiences gained concerning the received care, and the influence of the heart disease on everyday life. The aim is to answer the following research questions:<br>1.What impact do socioeconomic inequalities have on the access to, and the utilization and quality of healthcare services during the particular stages of healthcare for CAD patients?<br>2.Can specific factors and mechanisms be identified that lead to inequality of health-care? <br>3.How do socioeconomic inequalities interact and accumulate over the course of treatment and care?<br>