Attitudes and Opinions of Canadian Nephrologists Toward Continuous Quality Improvement Options

Canadian Journal of Kidney Health and Disease
Carina IskanderD C Mendelssohn

Abstract

A shift to holding individual physicians accountable for patient outcomes, rather than facilities, is intuitively attractive to policy makers and to the public. We were interested in nephrologists' attitudes to, and awareness of, quality metrics and how nephrologists would view a potential switch from the current model of facility-based quality measurement and reporting to publically available reports at the individual physician level. The study was conducted using a web-based survey instrument (Online Appendix 1). The survey was initially pilot tested on a group of 8 nephrologists from across Canada. The survey was then finalized and e-mailed to 330 nephrologists through the Canadian Society of Nephrology (CSN) e-mail distribution list. The 127 respondents were 80% university based, and 33% were medical/dialysis directors. The response rate was 43%. Results demonstrate that 89% of Canadian nephrologists are engaged in efforts to improve the quality of patient care. A minority of those surveyed (29%) had training in quality improvement. They feel accountable for this and would welcome the inclusion of patient-centered metrics of care quality. Support for public reporting as an effective strategy on an individual nephrologist le...Continue Reading

References

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Jul 28, 2016·BMC Health Services Research·Paolo CampanellaMaria Lucia Specchia

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Citations

Nov 9, 2019·Clinical Journal of the American Society of Nephrology : CJASN·Sri Lekha Tummalapalli, Carmen A Peralta
Oct 22, 2019·Canadian Journal of Kidney Health and Disease·Kara Schick-MakaroffAnita Molzahn

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