116 Professional theme 3: Health care barriers CKD not a topic in GPs Create awareness about CKD Downplaying Prevention Long term risks CKD is not much of a topic in GPs and all HCPs feel there is a need to create more awareness on CKD HCPs sometimes make CKD sound not that serious in their explanation Early detection of CKD can be improved HCPs can improve to explain long term risks of CKD Less time (for consultations) Lack of time Let the patient tell / talk Extra consultations HCPs lack time to identify and support patients with LHL There is limited time to really ask questions, deepen patients' barriers There is not always a possibility to meet LHL patients more often Decreasing accessibility to health services Access to HCPs Financial Resources Role of health insurance If a HCP is approachable and accessible, for example by calling, arranging an appointment etc. No money to buy healthy food or seek additional care Costs for health insurances rise, while patients also need to pay for care more often (Professional) cooperation Contrasting information Primary / secondary care Within multidisciplinary team Interpreters not being able to transfer message adequately Lifestyle coach Other caregivers HCPs sometimes offer contrasting information or their information does not match written/digital information Primary care can benefit from closer cooperation with secondary care Functioning of and roles within the multidisciplinary team With language problems there are problems in the translation of interpretators There are new lifestyle coaches in the hospital to cooperate with Patients often have other caregivers where HCPs can cooperate with Other Community / politics The role of supermarkets, politics in stimulating healthy living Supplementary file 4 continued
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