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A conceptual framework of quality of life in chronic kidney disease in Turkey: A patient‐focused approach

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  • Gamze Bayin Donar
  • Mehmet Top

Abstract

This study aimed to determine the quality of life of patients with chronic kidney disease who were receiving dialysis treatment. It also aimed to identify the factors affecting the quality of life of these patients. The independent variables analyzed were: patients' sociodemographic characteristics, organizational characteristics, adherence to treatment, patient‐physician relationship, and patient activation level. The sample consisted of 328 patients with chronic kidney disease who received services from dialysis units of two university hospitals and two private dialysis centers. Data analysis was performed through multivariate regression. Results showed that receiving treatment from a hospital‐based dialysis unit may have a positive effect in patients' quality of life; and patient‐physician relationship, patient activity, and adherence to treatment may positively affect quality of life. Thus, planning of health service delivery that focus on improving the quality of life of patients who are more active by allowing them to establish positive relationships with their physicians and to have a better adherence to treatment should be adopted. These findings may provide health managers, health professionals, and individual patients with evidence‐based information about treatment management and health service planning processes related to chronic kidney disease.

Suggested Citation

  • Gamze Bayin Donar & Mehmet Top, 2020. "A conceptual framework of quality of life in chronic kidney disease in Turkey: A patient‐focused approach," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(6), pages 1335-1350, November.
    • Handle: RePEc:bla:ijhplm:v:35:y:2020:i:6:p:1335-1350
    DOI: 10.1002/hpm.3038
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    1. Nancy J. Devlin & Koonal K. Shah & Yan Feng & Brendan Mulhern & Ben van Hout, 2018. "Valuing health‐related quality of life: An EQ‐5D‐5L value set for England," Health Economics, John Wiley & Sons, Ltd., vol. 27(1), pages 7-22, January.
    2. Xiao-Jing Tu & Wen-Juh Hwang & Hui-Ing Ma & Ling-Hui Chang & Shih-Pin Hsu, 2017. "Determinants of generic and specific health-related quality of life in patients with Parkinson’s disease," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-12, June.
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