HIGHLIGHTS
- What: The qualitative component the study involved conducting three focus group discussions which were transcribed and manually analyzed using thematic analysis to generate categories. Among heart valve replacement patients attending the Heart Valve Clinic at a tertiary care referral center in South India, this study aimed to determine the out-ofpocket (OOP) expenditure (OOPE) for follow-up visits, explore and assess the difficulties faced by patients during these visits, and determine the proportion of patients who missed the recommended follow-up appointments. A limitation of the study is that, since it was conducted among patients attending the . . .

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