FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4318150369> ?p ?o ?g. }

• W4318150369 abstract "The objective of this dissertation is to contribute to evidence on access to care for cardiovascular disease (CVD) – the most common cause of death globally – by a) describing the state of hypercholesterolemia care in a large range of low-and middle-income countries (LMICs) and b) testing the effectiveness of two individual-level interventions aimed at increasing CVD screening behavior in Indonesia and South Africa. This dissertation describes that access to CVD care is poor in many LMICs. We showed that especially for diabetes and hypercholesterolemia, large shares of affected individuals are never screened for their conditions. Furthermore, across all diabetes, hypercholesterolemia, and hypertension, we found large drops along diagnosis, treatment, and control stages of care. As a marker for integrated CVD care, the analysis of statin use for primary and secondary prevention of CVD additionally showed that no examined LMIC met World Health Organization treatment targets. These findings suggest that large population shares remain without appropriate care for the global leading cause of death – calling for greater policy and research attention towards facilitating improved CVD care in LMICs. Highlighting opportunities for improvement, we found that substantial heterogeneities in access to care across regions and countries exist. Some countries, such as Costa Rica, were found to consistently perform better across multiple studies and conditions, potentially offering important policy lessons upon closer inspection. Also at the individual level, patterns in the associations with care outcomes suggest that targeting mechanism for identifying respondent at higher risk of presenting with CVD may partially be in place; with older individuals and those presenting with comorbidities being more likely to achieve care outcomes. At the same time, also differences in key socioeconomic characteristics, such as education, became apparent – requiring solutions that expand on efficient, but equitable target mechanisms. While solutions must be found on all levels of the health system, this dissertation specifically points to two interventions aimed at increasing individual-level screening demand for CVD risk factors, namely SMS reminder and survey-based referral letters. Both interventions aimed at increasing the salience of CVD risk factors by instructing and reminding individuals to seek care; as well as aimed at altering risk perceptions of individuals by offering different degrees of personalized risk information. They showed that health behavior can be affected by such light-touch interventions, as SMS reminders induced greater screening uptake, and survey-based referral letters induced small changes in health outcomes in certain population groups (yet left no impact on others). In the SMS intervention, this seemed to have worked primarily through a reminder effect. In the referral letter intervention, impact varied by physical and mental health status, potentially addressing perceptions of risk of illness and of screening and treatment benefits. Overall, these interventions show that CVD health behavior can be affected by such light-touch interventions, but to an extent that still left large care gaps remaining." @default.
• W4318150369 created "2023-01-26" @default.
• W4318150369 creator A5011942396 @default.
• W4318150369 date "2023-01-26" @default.
• W4318150369 modified "2023-10-14" @default.
• W4318150369 title "Access to Care for Cardiometabolic Diseases in Low- and Middle-Income Countries" @default.
• W4318150369 doi "https://doi.org/10.53846/goediss-9662" @default.
• W4318150369 hasPublicationYear "2023" @default.
• W4318150369 type Work @default.
• W4318150369 citedByCount "0" @default.
• W4318150369 crossrefType "dissertation" @default.
• W4318150369 hasAuthorship W4318150369A5011942396 @default.
• W4318150369 hasBestOaLocation W43181503691 @default.
• W4318150369 hasConcept C142724271 @default.
• W4318150369 hasConcept C159110408 @default.
• W4318150369 hasConcept C160735492 @default.
• W4318150369 hasConcept C162324750 @default.
• W4318150369 hasConcept C17744445 @default.
• W4318150369 hasConcept C199539241 @default.
• W4318150369 hasConcept C27415008 @default.
• W4318150369 hasConcept C2776640315 @default.
• W4318150369 hasConcept C2779134260 @default.
• W4318150369 hasConcept C2908647359 @default.
• W4318150369 hasConcept C29374701 @default.
• W4318150369 hasConcept C3018472363 @default.
• W4318150369 hasConcept C50522688 @default.
• W4318150369 hasConcept C71924100 @default.
• W4318150369 hasConcept C74909509 @default.
• W4318150369 hasConcept C83864248 @default.
• W4318150369 hasConcept C99454951 @default.
• W4318150369 hasConceptScore W4318150369C142724271 @default.
• W4318150369 hasConceptScore W4318150369C159110408 @default.
• W4318150369 hasConceptScore W4318150369C160735492 @default.
• W4318150369 hasConceptScore W4318150369C162324750 @default.
• W4318150369 hasConceptScore W4318150369C17744445 @default.
• W4318150369 hasConceptScore W4318150369C199539241 @default.
• W4318150369 hasConceptScore W4318150369C27415008 @default.
• W4318150369 hasConceptScore W4318150369C2776640315 @default.
• W4318150369 hasConceptScore W4318150369C2779134260 @default.
• W4318150369 hasConceptScore W4318150369C2908647359 @default.
• W4318150369 hasConceptScore W4318150369C29374701 @default.
• W4318150369 hasConceptScore W4318150369C3018472363 @default.
• W4318150369 hasConceptScore W4318150369C50522688 @default.
• W4318150369 hasConceptScore W4318150369C71924100 @default.
• W4318150369 hasConceptScore W4318150369C74909509 @default.
• W4318150369 hasConceptScore W4318150369C83864248 @default.
• W4318150369 hasConceptScore W4318150369C99454951 @default.
• W4318150369 hasLocation W43181503691 @default.
• W4318150369 hasOpenAccess W4318150369 @default.
• W4318150369 hasPrimaryLocation W43181503691 @default.
• W4318150369 hasRelatedWork W1546601989 @default.
• W4318150369 hasRelatedWork W1762842005 @default.
• W4318150369 hasRelatedWork W1903244327 @default.
• W4318150369 hasRelatedWork W2009314830 @default.
• W4318150369 hasRelatedWork W2304895065 @default.
• W4318150369 hasRelatedWork W2515424467 @default.
• W4318150369 hasRelatedWork W2582768049 @default.
• W4318150369 hasRelatedWork W4313647597 @default.
• W4318150369 hasRelatedWork W4381052470 @default.
• W4318150369 hasRelatedWork W2311259680 @default.
• W4318150369 isParatext "false" @default.
• W4318150369 isRetracted "false" @default.
• W4318150369 workType "dissertation" @default.