Barriers and Facilitators Associated With Delays in the Diagnosis and Treatment of Lupus: A Qualitative Study of Patients and Rheumatologists in the Central American and Caribbean Region
Delays in SLE care in CAC are predominantly driven by systemic rather than patient-level factors. Strengthening health system capacity, expanding rheumatology services, and fostering culturally sensitive care are essential to reducing inequities and improving outcomes.
Authors
- Irene López Pérez
- Ana Marta López-Mantecón
- Zoila Marlene Guibert-Toledano
- Gil Reyes-Llerena
- Antonio Cachafeiro-Vilar (ORCID: https://orcid.org/0000-0002-8219-6814)
- Rachel Alvarez (ORCID: https://orcid.org/0000-0003-1426-7972)
- Mayra Elizabeth Cifuentes-Alvarado
- Tirsa Colmenares‐Roa (ORCID: https://orcid.org/0000-0003-3899-4787)
- Roberto Muñoz-Louis
- José Anibal Chacón-Súchite
- Ingris del Pilar Peláez-Ballestas (ORCID: https://orcid.org/0000-0001-5188-7375)
- Carolina Espinosa-Escobar
- Teresandris Polanco-Mora
- Deyanira Isabel Reyes-Baca
- Isabel Blanco-O
- Yaneli Vizcaino-Luna
- Amaranta ManriquedeLara
- Hugo Rosas-Fraga
- Witjal Manuel Bermúdez-Marrero
- Gabriela María Guzmán-Melgar
- Idania Calixta Escalante-Mendoza
Institutions
- Universidad de Panamá (PA)
- Universidad de Ciencias Medicas (CR)
- Universidad de San Carlos de Guatemala (GT)
- Hospital General San Juan de Dios (GT)
- Hospital General de México (MX)
- Hospital Punta Pacifica (PA)
- Universidad Central "Marta Abreu" de las Villas (UCLV) (CU)
- Hospital Padre Américo (PT)
- Universidad Nacional Autónoma de Nicaragua-León (NI)
- Hospital Oncológico Docente "Conrado Benítez García" (CU)
- Ministerio de Salud (NI)
- Honduras Foundation for Agricultural Research (HN)
- Universidad Nacional Autónoma de México (MX)
Publication Details
- Journal
- JCR Journal of Clinical Rheumatology
- Published
- 2025-11-06
- DOI
- https://doi.org/10.1097/rhu.0000000000002290
- Citations
- 4
- Primary Topic
- Systemic Lupus Erythematosus Research
- Type
- article
- Field-Weighted Citation Impact
- 6.67