التفاصيل البيبلوغرافية
| العنوان: |
Promoting Patient Centered Care in Veterans with Chronic Kidney Disease |
| المؤلفون: |
Lederer, Swati |
| المساهمون: |
Zwanziger, Jack, Fischer, Michael J, Gordon, Elisa J, Gordon, Howard S |
| سنة النشر: |
2017 |
| المجموعة: |
University of Illinois at Chicago: UIC INDIGO (INtellectual property in DIGital form available online in an Open environment) |
| مصطلحات موضوعية: |
chronic kidney disease patient-provider communication |
| الوصف: |
Background: Patients with chronic kidney disease (CKD) commonly have unmet information needs. Greater patient participation in healthcare discussions can address these needs and improve health outcomes. We developed a patient-centered question prompt sheet (QPS) to engage CKD patients in healthcare conversations. Methods: We conducted a two phase, mixed-methods, cross-sectional study involving semi-structured telephone interviews. Patients with an estimated glomerular filtration rate (eGFR) <60ml/min/1.73m2, on dialysis, or with a kidney transplant were recruited from one Veterans Affairs (VA) nephrology clinic. Phase 1 interviews included open-ended questions assessing patients' CKD-related information needs and generated a preliminary 67-item QPS. Phase 2 interview participants rated the importance of asking each question on a 5-point Likert scale and provided open-ended feedback. All participants rated their willingness to use a CKD-QPS. Input from patient ratings, a multidisciplinary team, and from members of the National Kidney Disease Education Program (NKDEP) Coordinating Panel helped to shorten and refine the QPS. A qualitative thematic approach was used to analyze open-ended responses. Quantitative data were analyzed for means and proportions. Results: Eighty-five patients participated. Most were male (97%), non-Hispanic white (71%), and mean age was 67 years. Patients desired more information about CKD, particularly dialysis/transplant, and the relationship between CKD and comorbid medical conditions. The final QPS included 31-questions divided into 7 CKD subtopics. Most patients (88%) reported being 'completely' or 'very' willing to use a CKD-QPS in future doctor visits. Conclusions: CKD patients have unmet information needs. We developed a QPS to engage CKD patients in healthcare discussions and to facilitate patient-centered care. Future research should assess whether the CKD-QPS addresses patients' information needs, enhances doctor-patient communication, and improves health outcomes. |
| نوع الوثيقة: |
thesis |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
http://hdl.handle.net/10027/21884Test |
| الإتاحة: |
http://hdl.handle.net/10027/21884Test |
| رقم الانضمام: |
edsbas.485A130 |
| قاعدة البيانات: |
BASE |
