Most nephrologists are primary care providers for chronic dialysis patients : Results of a national survey.
Annual ASAIO Meeting. New Orleans, LA USA, 1993.
The medical care of end-stage renal disease (ESRD) patients includes not only dialysis-related medical care but preventive and general medical care as well as the care of minor acute illnesses.
There is little information about nephrologists'interpretation of their potential role as a primary health care provider for the general medical needs of chronic dialysis patients.
To characterize nephrologists'primary care practice patterns related to the care of chronic dialysis patients, we surveyed a randomly selected group of practicing nephrologists and asked questions about preventive medicine guidelines followed, treatment of minor acute illnesses, and management of chronic medical problems in ESRD patients.
The results of 233 questionnaires (46% response rate) were analyzed.
Most of the responding nephrologists were men (91%), were board certified in internal medicine (96%) and nephrology (83%), were out of nephrology practice for a mean of 16 years, had a mean age of 48 ± 7 years, and were in private practice (65%). The average percentage of time spent with chronic dialysis patients was reported as 30% ; 38% of that time was devoted to the general medical care of those patients.
Ninety percent of nephrologists reported that they provided primary care to their dialysis patients, and only 21% said a nurse practitioner or physician assistant worked with them. (...)
Mots-clés Pascal : Insuffisance rénale, Chronique, Hémodialyse, Soin santé primaire, Spécialité médicale, Système santé, Etats Unis, Amérique du Nord, Amérique, Traitement, Homme, Appareil urinaire pathologie, Rein pathologie, Epuration extrarénale
Mots-clés Pascal anglais : Renal failure, Chronic, Hemodialysis, Primary health care, Medical specialty, Health system, United States, North America, America, Treatment, Human, Urinary system disease, Renal disease, Extrarenal dialysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0384191
Code Inist : 002B27B03. Création : 10/04/1997.