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What are the determinants that induce CVD patients to drop out of their CVRM program in the primary care in Almelo?

Hoffmann, Marvin (2020) What are the determinants that induce CVD patients to drop out of their CVRM program in the primary care in Almelo?

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Abstract:A 2017 study in the municipality of Almelo found that 7% of the patients enrolled in the CVRM dropped out. Without attending the CVRM program the overall risk of experiencing cardiovascular-related problems and incidents increases. Therefore, this explorative study aimed to detect the potential determinants that induce patients from Almelo to drop out of the CVRM program and to what degree the CVRM program is implemented in reality compared to how it is intended in theory. In total, six medical professionals from Enschede and Almelo specialised in CVD were interviewed. The transcripts of the semi-structured interviews were analysed utilizing conventional content analysis and summative content analysis. In using an inductive coding approach, commonality-based codes were developed to derive a general scheme or general conclusions. The analysis resulted in five codes that stand vicarious for the determinants answering the question of why patients might quit the CVRM. The determinants are “Decreasing Motivation”, “Absence of Measurable Health Effects”, ”Insufficient Knowledge”, “Reflecting the Social Environment” and “Lacking Trust in Medical Institutions”. Based on the designation and emphasis of medical professionals it appears that “Absence of Measurable Health Effects”, “Decreased Motivation” and especially “Insufficient Knowledge” are the most relevant determinants.
Item Type:Essay (Bachelor)
Faculty:TNW: Science and Technology
Subject:70 social sciences in general
Programme:Health Sciences BSc (56553)
Link to this item:http://purl.utwente.nl/essays/81395
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