Health Professional-Identified Barriers to Living Donor Kidney Transplantation: A Qualitative Study

Canadian Journal of Kidney Health and Disease
Shaifali SandalCatherine Weber

Abstract

Living donor kidney transplantation (LDKT) has several advantages over deceased donor kidney transplantation. Yet rates of living donation are declining in Canada and there exists significant interprovincial variability. Efforts to improve living donation tend to focus on the patient and barriers identified at their level, such as not knowing how to ask for a kidney or lack of education. These efforts favor those who have the means and the support to find living donors. Thus, a Canadian Institutes of Health Research (CIHR)-organized workshop recommended that education efforts to understand and remove barriers should focus on health professionals (HPs). Despite this, little attention has been paid to what they identify as barriers to discussing LDKT with their patients. Our aim was to explore HP-identified barriers to discuss living donation with patients in 3 provinces of Canada with low (Quebec), moderate (Ontario), and high (British Columbia) rates of LDKT. This study consists of an interpretive descriptive approach as it enables to move beyond description and inform clinical practice. Purposive criterion and quota sampling were used to recruit HPs from Quebec, Ontario, and British Columbia who are involved in the care of pat...Continue Reading

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Dec 25, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Pippa K BaileyLucy E Selman

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