Current status and barriers in pulmonary hypertension care delivery in India: A qualitative analysis

Abstract

Although pulmonary hypertension (PH) is widely prevalent in India, care delivery for this condition has unique challenges in a lower middle-income country (LMIC). To describe care delivery for patients with PH and associated barriers in India. We interviewed physicians across eight healthcare systems in India about PH clinical care using semi-structured enquiries to understand care delivery and associated challenges in their specific practice as well as the associated health system. Qualitative analysis was performed using content analysis methodology. Physicians reported that common causes for PH in their practice were rheumatic mitral valve disease, coronary artery disease, and congenital heart disease (CHD). No center had a dedicated PH program. Only one center had a specific protocol for PH management. Diagnostic evaluations were limited, and right heart catheterizations were recommended for patients

Chronic Thromboembolic Pulmonary Hypertension – Time is of the Essence

“…Maligireddy et al . [ 20 ] painstakingly explored the gaps in PH care in India. This article is recommended for anyone practicing in India to become aware of not only the disease, but also of potentially correctable gaps in PH care.…”