Exploration of barriers to treatment for patients with eating disorders in Chile

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dc.article.number160
dc.catalogadoraba
dc.contributor.authorCastañeda Caro, Felipe
dc.contributor.authorCerda, Jaime
dc.contributor.authorJara Latorre, Raúl Hernán
dc.contributor.authorRiestra, Francisca
dc.contributor.authorUrrejola Noguera, Pascuala
dc.contributor.authorVogel, Melina
dc.contributor.authorGumucio, María E.
dc.contributor.authorIrribarra Pastenes, Verónica
dc.contributor.authorÁlvarez, Jorge
dc.contributor.authorDíaz, María A.
dc.contributor.authorKompatzki, Paula
dc.contributor.authorCosta, Daniela
dc.date.accessioned2024-10-14T19:41:07Z
dc.date.available2024-10-14T19:41:07Z
dc.date.issued2024
dc.date.updated2024-10-13T00:02:50Z
dc.description.abstractBackground Eating disorders (EDs) are associated with high morbidity and mortality, affecting predominantly young people and women. A delay in starting treatment is associated with chronic and more severe clinical courses; however, evidence on barriers and facilitators of access to care in Latin America is scarce. We aimed to identify barriers and facilitators of ED treatment in Chile from the perspective of patients, relatives, and health professionals. Methods Qualitative approach through semi-structured interviews with patients, their relatives, and health professionals. Participants were recruited from two ED centers in Santiago, Chile (one public and one private). Analysis was mainly based on Grounded Theory, using MAXQDA software. Results 40 interviews were conducted (n = 22 patients, 10 relatives, and 8 health professionals). The mean age of patients was 21.8 years, while the mean duration of untreated ED was 91.4 months (median 70 months). Five categories emerged with intersections between them: patient (P), family and social environment (FSE), health professionals (HP), healthcare system (HCS), and social and cultural context (SCC). Relevant barriers appeared within these categories and their intersections, highlighting a lack of professional knowledge or expertise, cultural ignorance or misinformation regarding EDs, and patient’s ego-syntonic behaviors. The main facilitators were patients’ and relatives’ psychoeducation, recognition of symptoms by family members, and parents taking the initiative to seek treatment. Conclusions This study provides information regarding access to treatment for patients living with EDs in Chile. A practical public health approach should consider the multi-causality of delay in treatment and promoting early interventions. Plain English Summary Eating disorders (EDs) may severely affect the daily functioning of people enduring them. A delay in starting treatment is associated with a disease that is more difficult to treat. To our knowledge, there are no published studies carried out in Latin America exploring factors influencing treatment initiation in EDs patients. This study aimed to identify facilitators of and barriers to treating patients with EDs in Chile. We interviewed patients (n = 22), their relatives (n = 10), and health professionals (n = 8) from a private and a public center in Santiago, Chile. Our analysis showed that the main barriers to starting treatment were the lack of professional knowledge in ED, the monetary cost of illness, and cultural misinformation. Facilitators were related to the role of the family in recognizing and addressing the disease while being educated in EDs by professionals. This study helps to provide data about treatment access in developing countries. While facilitators and barriers were similar to others reported in the literature, the untreated ED’s duration was longer. It is essential to address these barriers to provide access to treatment more efficiently and prevent severe and enduring forms of disease.
dc.fechaingreso.objetodigital2024-10-13
dc.fuente.origenBiomed Central
dc.identifier.doi10.1186/s40337-024-01104-x
dc.identifier.issn2050-2974
dc.identifier.urihttps://doi.org/10.1186/s40337-024-01104-x
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88206
dc.information.autorucEscuela de Medicina; Castañeda Caro, Felipe; S/I; 1047350
dc.information.autorucEscuela de Medicina; Cerda, Jaime; 0000-0003-3463-8304; 3935
dc.information.autorucEscuela de Medicina; Jara Latorre, Raúl Hernán; S/I; 1052478
dc.information.autorucEscuela de Medicina; Urrejola Noguera, Pascuala; S/I; 69581
dc.information.autorucEscuela de Medicina; Vogel, Melina; S/I; 1008079
dc.information.autorucEscuela de Medicina; Irribarra Pastenes, Verónica; S/I; 366
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final14
dc.pagina.inicio1
dc.revistaJournal of Eating Disorders
dc.rightsacceso abierto
dc.rights.licenseAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectEating disorders
dc.subjectAccess to treatment
dc.subjectEarly intervention
dc.subjectPublic health
dc.subjectChile
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleExploration of barriers to treatment for patients with eating disorders in Chile
dc.typeartículo
dc.volumen12
sipa.codpersvinculados1047350
sipa.codpersvinculados3935
sipa.codpersvinculados1052478
sipa.codpersvinculados69581
sipa.codpersvinculados1008079
sipa.codpersvinculados366
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