Thematic focus area: Managing healthcare delivery systems
Tags: NCD Management, Hypertension
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Our objective in this study is two-fold:
Understanding the current private provider practices for hypertension care in Telangana.
Outlining interventions targeted at engaging private providers to manage hypertension better such that it is incentive compatible for them.
We will primarily study the screening, diagnosis, treatment, management, monitoring, and counseling practices for hypertension care provided by private providers in Telangana. We will understand the cost structure and the revenues earned by providers towards delivering hypertension care. We will also gather data on information systems used by the providers and their methodology of keeping track of visiting hypertensive patients. Pharmacists will be asked for information on their role in providing services like dispensing medication, generic substitution, over-the-counter medical advice, etc. For laboratories, we will study the services provided towards diagnosis and regular check-up of hypertension patients. The current state assessment will help us understand the critical factors influencing private sector hypertension care, and the prospective interventions would then be outlined that would be aimed at strengthening care delivery across the hypertension value chain.
Primary means of data collection is semi-structured interviews with the participants. The discussions will assist in building causal inferences. We will also use the following sources of evidence to help close the gaps in information received from semi-structured interviews.
We will interact with thirty private providers, thirty patients, six pharmacies, two diagnostic laboratories, and four pharmaceutical sales representatives.
PROJECT TEAM
Sarang Deo, Aman Kabra, Ashish Sachdeva
10%CURRENT STATUS
Proposal building, contract signing, drafting proposal, interview guides construction, IRB approval, HMSC approval, field investigators’ training, and pretesting phase have been completed. We are currently awaiting permission from Vital Strategies to conduct the interviews in-person instead of online.
10%
DISSEMINATION PLAN
Preliminary findings from a pretesting field visit were published on the ISB blog. The field visit’s objective was to interview private practitioners in the small town of Karimnagar, Telangana, to obtain a preliminary understanding of the practitioners’ practices for hypertension management, their adherence to the prescribed guidelines, dynamics of referral chain throughout the patient care pathway, and the practitioners’ motivation to alleviate hypertension through collaborative programmes. We aim to disseminate the findings of the project through publishing a journal article in Qualitative Health Research.
10%Thematic focus area: Managing healthcare delivery systems
Tags: NCD Management, Hypertension