About Careers Internship MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

Collaboration is Key in Kidney Disease Care, Despite the Challenges

by Kathy Jones on January 8, 2011 at 6:24 PM
Font : A-A+

 Collaboration is Key in Kidney Disease Care, Despite the Challenges

A study appearing in an upcoming issue of the Clinical Journal of the American Society Nephrology (CJASN) says that most primary care physicians (PCPs) and kidney specialists favor collaborative care for a patient with progressive chronic kidney disease (CKD), but their preferences on how and when to collaborate differ.

PCPs and kidney specialists need to partner more effectively to optimize care for patients with CKD.

Advertisement

Prompt referral of patients to kidney specialists can slow CKD progression or help patients prepare for dialysis or kidney transplantation in a timely manner. However, the evidence suggests that improved collaborations are needed between PCPs and kidney specialists. Clarissa Jonas Diamantidis, MD (University of Maryland School of Medicine) and her colleagues assessed physicians' desires to collaborate in the care of a hypothetical patient with CKD, their preferred content of collaboration, and their perceived barriers to collaboration.

A national sample of 124 PCPs and 120 kidney specialists filled out a questionnaire describing the care of a hypothetical patient with progressive CKD. Most physicians (85% PCPs and 94% kidney specialists) desired collaboration and preferred that PCPs play a significant ongoing role in care. Kidney specialists were more likely than PCPs to prefer collaboration focusing on therapy that prepares patients for dialysis or kidney transplantation (73% versus 52%) and electrolyte management (81% versus 46%). One half of kidney specialists believed patients were referred late. PCPs were more likely to desire collaborative care if the hypothetical patient had both diabetes and hypertension and if they believed the care they provided was helpful in slowing disease progression. PCPs were less likely to desire collaborative care if they felt insurance restrictions limited their ability to refer a patient to a kidney specialist.
Advertisement

"Our findings provide evidence of consensus among PCPs and nephrologists regarding collaboration beneficial to patients," the authors wrote. PCPs and kidney specialists should specify the roles each physician should play, particularly as medical conditions become more complex and health care reform takes effect. "Improving the relationship between primary care providers and specialists is critical in ensuring optimal delivery of care to patients with chronic illnesses, including those with kidney disease. Open lines of communication between all providers can only help to improve the quality of health care that we provide to our patients," she said. Dr. Diamantidis added that identifying physicians' perspectives on how that care should be provided is the first step in a process that will ultimately benefit patients.



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
What's New on Medindia
World Heart Day in 2022- Use Heart for Every Heart
Anemia among Indian Women and Children Remains a Cause of Concern- National Family Health Survey-5
H1N1 Influenza Prevention in Children: What Parents Need to Know
View all
Recommended Reading
News Archive
Date
Category
Advertisement
News Category

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Urinary Stones In Children Vesico-Ureteric Reflux Causing UTI in Children Hydronephrosis / Antenatal Counseling Kidney Disease Kidney Kidney Health Stones in Urinary Tract Renal Tubular Acidosis Diabetic Kidney Disease Kidney Biopsy 

Most Popular on Medindia

Diaphragmatic Hernia A-Z Drug Brands in India Vent Forte (Theophylline) Find a Doctor Blood - Sugar Chart Drug - Food Interactions Post-Nasal Drip Sinopril (2mg) (Lacidipine) Loram (2 mg) (Lorazepam) Sanatogen
This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use
×

Collaboration is Key in Kidney Disease Care, Despite the Challenges Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests