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Exploring patient and clinician perspectives on the benefits and risks of emerging therapies for the treatment of haemophilia: a qualitative study Cover

Exploring patient and clinician perspectives on the benefits and risks of emerging therapies for the treatment of haemophilia: a qualitative study

Open Access
|Apr 2024

Figures & Tables

A qualitative study exploring clinician and patient perspectives on the benefits and risks of emerging haemophilia treatments found a broad range of influences on patient choice, with clinicians playing a key role in framing discussions
A qualitative study exploring clinician and patient perspectives on the benefits and risks of emerging haemophilia treatments found a broad range of influences on patient choice, with clinicians playing a key role in framing discussions

Figure 1:

The unique nature of haemophilia in risk-benefit discussions
The unique nature of haemophilia in risk-benefit discussions

Study methodology and participation

PARTICIPANT IDMETHODOLOGY
Consultant Haematologist 1Focus groups
Consultant Haematologist 2
Advanced Nurse Practitioner 1
Advanced Nurse Practitioner 2
Advanced Nurse Practitioner 3
Patient 1
Patient 2
Patient 3
Patient 5
Patient 6
Consultant Haematologist 31:1 qualitative interviews
Consultant Haematologist 4
Consultant Haematologist 5
Consultant Haematologist 6
Consultant Haematologist 7
Patient 4
Patient 7

Summary of thematic codes

PARTICIPANT GROUPCONSULTANT HAEMATOLOGISTS (N=7)ADVANCED NURSE PRACTITIONERS (N=3)PATIENTS (N=7)
Minor themes (n)501830
Major themes (n)13811
Major themes (list)

  • Bias

  • Clinician influence

  • Clinician risk-training

  • Clinician gateway for the NHS

  • Cost containment

  • Gene therapy

  • Importance of MDT

  • Media influence

  • Nature of haemophilia as a disease

  • Patient communication

  • Risk

  • Structure of consultations

  • Uncertainty

  • Benefit-risk

  • Bias

  • Gene therapy

  • Inequity of focus

  • Importance of MDT

  • Timing of consultation

  • Training

  • Treatment choices

  • Active vs. passive patients

  • Consultation structure

  • Evidence sources for new treatments

  • Experience with current treatment and care

  • Gateway for the NHS

  • Gene therapy

  • Geographical differences in care

  • Health literacy

  • Impact of blood inquiry

  • Importance of MDT

  • Treatment choices

SUMMARY THEMES (N=5)

  • Active vs. passive patients

  • Health literacy

  • Gene therapy perspectives

  • External factors

  • Scar of blood infection scandal

Language: English
Page range: 21 - 37
Published on: Apr 8, 2024
Published by: Haemnet Ltd
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 John Spoors, Katherine Payne, Stuart Wright, Will Horsley, Sadie Bell, John Cairns, published by Haemnet Ltd
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.