Implementation and Evaluation of a Risk-Based Approach to Guide Chronic Kidney Disease Care: Protocol for a Multiphase Mixed-Methods Study.
Brenda R HemmelgarnMichelle D SmekalRobert G WeaverChandra ThomasEleanor BenterudKin TamBraden J MannsMarcello TonelliJuli FinlayMaoliosa DonaldHelen Tam-ThamAminu BelloNavdeep TangriRobert R QuinnPublished in: Canadian journal of kidney health and disease (2018)
Use of a risk-based model of care has the potential to increase use of optimal treatments such as the use of home dialysis and preemptive kidney transplantation, while reducing costs and poor outcomes related to processes of care such as unnecessary laboratory testing; however, there is also potential for unintended consequences. Our mixed-methods approach will integrate perceptions and needs from key stakeholders (including patients with CKD, their families, and their providers) to guide implementation and ensure appropriate modifications.