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.
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.
"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.