This chapter addresses the role that long term health conditions play in patient journeys to amputation. Particularly diabetes and poorly managed wounds. Echoing Chapter 2 it shows the impact of these conditions and associated delays, exacerbated by poor referral systems and human resource management on amputation rates. It also evidences the catastrophic health expenditures involved and the impact of these on subsequent attitudes towards accessing rehabilitation services. The Chapter highlights the role that beliefs in witchcraft and alternative remedies play in the delays process.

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Patients’ Journeys to Amputation (2): Long Term Conditions

  • Louise Ackers,
  • Jonathan Huck,
  • Laurence Kenney,
  • Allan Ndawula,
  • Jackson Murungi

摘要

This chapter addresses the role that long term health conditions play in patient journeys to amputation. Particularly diabetes and poorly managed wounds. Echoing Chapter 2 it shows the impact of these conditions and associated delays, exacerbated by poor referral systems and human resource management on amputation rates. It also evidences the catastrophic health expenditures involved and the impact of these on subsequent attitudes towards accessing rehabilitation services. The Chapter highlights the role that beliefs in witchcraft and alternative remedies play in the delays process.