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Kidney Disease Population Health Management in the Era of Accountable Care: A Conceptual Framework for Optimizing Care Across the CKD Spectrum – American Journal of Kidney Diseases

19 Lug

Sorgente: Kidney Disease Population Health Management in the Era of Accountable Care: A Conceptual Framework for Optimizing Care Across the CKD Spectrum – American Journal of Kidney Diseases

 

In this Perspective, M.L. Mendu (Brigham and Women’s Hospital) et al outline their vision and strategic implementation of a comprehensive approach to kidney disease population-based care, discussing initiatives that have been implemented, those in development, and similar efforts described in the literature bit.ly/2kbmj86. They identified a number of deficiencies in CKD care that could be addressed with a population management approach:
(1) lack of CKD recognition among primary care providers (PCPs);
(2) poor adherence to CKD guidelines to stem progression and treat complications;
(3) delayed nephrology referral of patients with advanced CKD;
(4) inadequate coordination of renal replacement planning;
(5) underutilization of peritoneal dialysis and preemptive transplantation;
(6) reliance on central venous catheters for dialysis and acute in-hospital initiation of ESRD care;
(7) frequent hospitalization of patients with ESRD for infections, inadequate access, and volume overload;
(8) underutilization of shared decision making and palliative care; and
(9) lack of patient engagement.

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Pubblicato da su 19 luglio 2017 in MRC malattia renale cronica, top

 

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