Improving Primary Care Delivery for Patients Receiving Maintenance Hemodialysis
Recommended Citation
Beers KH, Sperati CJ, Weisman DS, Abdel-Kader K, Soman S, Plantinga L, Choi MJ, Jaar BG, and Greer RC. Improving Primary Care Delivery for Patients Receiving Maintenance Hemodialysis. Am J Kidney Dis 2021.
Document Type
Article
Publication Date
5-13-2021
Publication Title
American journal of kidney diseases
Abstract
The beneficial impact of primary care, focused on all aspects of a patients' health (rather than a disease-specific focus) is well established. Recognized benefits include greater receipt of preventive care and counseling, lower utilization of emergency care and hospitalization for ambulatory care sensitive conditions, and decreased early mortality. While the importance of primary care and care coordination at the primary care-specialty interface is well recognized, the role of primary care within traditional and emerging care models for patients receiving maintenance in-center hemodialysis remains ill-defined. In this perspective article, we will describe: 1) the role of primary care for patients receiving maintenance hemodialysis and the current evidence regarding the receipt of primary care among those patients; 2) the key challenges to delivery of primary care for these complex patients, including suboptimal care coordination between nephrology and primary care providers (PCPs), the intensity of dialysis care, and the limited capacity of nephrologists and PCPs to meet the broad health needs of hemodialysis patients; 3) the potential strategies for improving the delivery of primary care for patients receiving hemodialysis; and 4) future research needs to improve primary care delivery for this high-risk population.
PubMed ID
33992728
ePublication
ePub ahead of print
