Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 325-334 |
| Number of pages | 10 |
| Journal | Health Expectations |
| Volume | 18 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 1 Jun 2015 |
| Externally published | Yes |
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Referral and management options for patients with chronic kidney disease: Perspectives of patients, generalists and specialists. / Wilson, Charlotte; Campbell, Stephen; Luker, Karen; Ann, Caress.
In: Health Expectations, Vol. 18, No. 3, 01.06.2015, p. 325-334.Research output: Contribution to journal › Article
TY - JOUR
T1 - Referral and management options for patients with chronic kidney disease: Perspectives of patients, generalists and specialists
AU - Wilson, Charlotte
AU - Campbell, Stephen
AU - Luker, Karen
AU - Ann, Caress
N1 - © 2012 Blackwell Publishing Ltd.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Background Chronic Kidney Disease (CKD) is increasing in prevalence and significance as a global public health issue. Appropriate management of CKD stages 3–4 in either generalist or specialist care is essential in order to slow disease progression. As various consulting options between services may be used, it is important to understand how patients and practitioners view these options. Objective To elicit patient and practitioner views and preferences on the acceptability and appropriateness of referral practices and consulting options for CKD stage 3–4. Design A mixed methods approach involving a semi-structured interview and structured rating exercise administered by telephone. Setting & participants Adult (18+) patients with CKD stage 3–4 were recruited via their General Practitioner (GP). Practitioners were recruited from both general and specialist services. Results Sixteen patients and twenty-two practitioners participated in the study between July and September, 2011. Both patients and practitioners preferred ‘GP with access to a specialist’ and least preferred ‘Specialist Review’. Computer review and telephone review were acceptable to participants under certain conditions. Practitioners favoured generalist management of patients with CKD 3. Specialists recommended active discharge of patients with stabilised stage 4 back to generalist care. Both generalists and specialists strongly supported sharing patients' medical records via electronic consultation systems. Conclusion Participants tended to prefer the current model of CKD management. Suggested improvements included; increasing the involvement of patients in referral and discharge decisions; improving the adequacy of information given to specialists on referral and encouraging further use of clinical guidelines in practice
AB - Background Chronic Kidney Disease (CKD) is increasing in prevalence and significance as a global public health issue. Appropriate management of CKD stages 3–4 in either generalist or specialist care is essential in order to slow disease progression. As various consulting options between services may be used, it is important to understand how patients and practitioners view these options. Objective To elicit patient and practitioner views and preferences on the acceptability and appropriateness of referral practices and consulting options for CKD stage 3–4. Design A mixed methods approach involving a semi-structured interview and structured rating exercise administered by telephone. Setting & participants Adult (18+) patients with CKD stage 3–4 were recruited via their General Practitioner (GP). Practitioners were recruited from both general and specialist services. Results Sixteen patients and twenty-two practitioners participated in the study between July and September, 2011. Both patients and practitioners preferred ‘GP with access to a specialist’ and least preferred ‘Specialist Review’. Computer review and telephone review were acceptable to participants under certain conditions. Practitioners favoured generalist management of patients with CKD 3. Specialists recommended active discharge of patients with stabilised stage 4 back to generalist care. Both generalists and specialists strongly supported sharing patients' medical records via electronic consultation systems. Conclusion Participants tended to prefer the current model of CKD management. Suggested improvements included; increasing the involvement of patients in referral and discharge decisions; improving the adequacy of information given to specialists on referral and encouraging further use of clinical guidelines in practice
KW - Acceptability
KW - Appropriateness
KW - Chronic kidney disease
KW - Generalist
KW - Preference
KW - Specialist
KW - Attitude of Health Personnel
KW - Nephrology
KW - Attitude to Health
KW - Humans
KW - Middle Aged
KW - Male
KW - Medicine
KW - Renal Insufficiency, Chronic/psychology
KW - General Practitioners/psychology
KW - Aged, 80 and over
KW - Female
KW - Interviews as Topic
KW - Aged
KW - Referral and Consultation
UR - http://www.scopus.com/inward/record.url?scp=84928753400&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/referral-management-options-patients-chronic-kidney-disease-perspectives-patients-generalists-specia
U2 - 10.1111/hex.12025
DO - 10.1111/hex.12025
M3 - Article
VL - 18
SP - 325
EP - 334
JO - Health Expectations
JF - Health Expectations
SN - 1369-6513
IS - 3
ER -