Nephrologists as primary care providers: a review of the issues

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Jean L Holley

Abstract

Considering the role of nephrologists as primary care providers for their chronic dialysis patients requires exploration of a number of factors. These factors include the definition of a primary care provider, the time and expertise needed to provide primary care, the expectations of nephrologists and dialysis patients who give and receive primary care, the appropriate preventive care for end-stage renal disease (ESRD) patients, and the current and future roles of nephrologists within a changing health care environment. Unfortunately, few studies have addressed these issues, and there is little objective information on which to base guidelines and recommendations about nephrologist-directed primary care of ESRD patients. Most nephrologists spend a significant portion (30% to 35%) of their time caring for dialysis patients, and 90% report providing primary care to dialysis patients. Most dialysis patients view their nephrologist as their primary care provider. The increasingly aged and ill ESRD population will undoubtedly necessitate additional time and expertise for care from an understaffed nephrology work force. The increased use of advanced practice nurses and alliances with health care delivery systems under global capitati...Continue Reading

Citations

Sep 6, 2002·Journal of General Internal Medicine·Wolfgang C WinkelmayerJerry Avorn
Sep 3, 2010·The New England Journal of Medicine·Ralph G BrindisDavid C May
Jan 7, 2014·Néphrologie & thérapeutique·Clémence BéchadeThierry Lobbedez
Jul 20, 2012·Seminars in Dialysis·Christopher T Chan, Charmaine E Lok
Nov 24, 2012·Seminars in Dialysis·Wolfgang C Winkelmayer, Manula Kurella Tamura
Apr 14, 2015·Seminars in Dialysis·Wendy L St Peter
Nov 20, 2016·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kevin F EricksonJay Bhattacharya
Feb 28, 2006·Cadernos de saúde pública·Michael Eduardo ReichenheimValeska Figueiredo
Jan 18, 2017·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Ahmad R Zamani, S Olutunde Oyadiji
Jul 28, 2013·Journal of the American Society of Nephrology : JASN·Takehiko KawaguchiRajiv Saran
Sep 1, 2005·International Urology and Nephrology·Nina ShahJohn A Walker
Aug 19, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Jeffrey S Berns, Lynda A Szczech
Sep 14, 2010·The New England Journal of Medicine·Allen R NissensonFranklin W Maddux
May 2, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Wendy L St PeterWilliam M McClellan
Jun 10, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·S Sankarasubbaiyan, J L Holley
Sep 12, 2021·BMC Health Services Research·Laurent Perrault-SequeiraMark Goldszmidt

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