Triple I Study: Hubs of Care Survey

Background: The Can-SOLVE CKD Triple I Study identified continuity of care; access to a primary care provider (PCP) in the hemodialysis (HD) unit; and access to care for other medical conditions as key challenges to in-centre HD care (www. betterkidneycare.ca). The Hubs of Care project aims to address these challenges by incorporating health care providers (HCPs) from other settings in the HD unit; firstly, we identify current practice, potential interest and need and desire for different HCPs in HD units. Methods: A cross-sectional self-reported survey administered Feb-May 2021 with HD patients and staff at four academic sites across Canada. Eligible participants included adults fluent in English or French who could complete the survey independently. The survey asked which HCPs are currently in HD units, which additional HCPs would be most useful to add and whether patients are in favor of other HCPs visiting them either virtually or in-person. Additional data were solicited by free text. Preliminary analyses using descriptive, median (IQR) and proportion and summative content analysis, are presented. Results: Surveys were completed by 393 individuals (252 HD patients and 141 HCPs). Eighty-three percent of patients and 34% of HCPs were ≥50 years old. Forty-five percent of patients had been on HD >3 years. The majority of patients (81.5%) and HCPs (91%) agreed that having other HCPs in HD units would be beneficial; both prefer the addition of diabetic specialists/endocrinologists, mental health specialists and podiatrist/foot care specialists (Table 1). Patients indicated a need for cardiologists. Patients (85%) would like to see a PCP in the HD unit; of those, 87% prefer in-person and 13% prefer virtual. Qualitative analysis reveals privacy concerns due to the open concept of HD Units; however, the concept of bringing HCPs into the HD unit is regarded as beneficial and time-saving. Table 1: - Preferences for Type of HCP Patients n=155 Healthcare providers n=103 Type of health care provider N % N % Cardiologist 29 18.7 6 5.8 Diabetes Specialist 21 13.5 37 35.9 Mental health specialist 20 12.9 33 32 Foot care specialist 18 11.6 30 29.1 Dermatologist 17 10.9 6 5.8 Primary care practitioner 17 10.9 20 19.4 Rehabilitation Specialist 5 3.2 17 16.5 Conclusions: In this cross-sectional survey both HD patients and staff identified that, despite privacy concerns, bringing HCPs that provide foot, diabetic and mental health care into the HD unit was a priority with potential for benefit. Funding: Government Support - Non-U.S.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.