کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8769756 | 1598212 | 2018 | 8 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Palliative Care Disincentives in CKD: Changing Policy to Improve CKD Care
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کلمات کلیدی
Quality of life - کیفیت زندگیGoals of care - اهداف مراقبتAdvance care planning - برنامه ریزی مراقبت های پیشرفتهChronic kidney disease (CKD) - بیماری مزمن کلیه (CKD)end-stage renal disease (ESRD) - بیماری کلیوی مرحله پایانی (ESRD)Dialysis - دیالیزHealth policy - سیاست های بهداشت و سلامتPatient-centered care - مراقبت از بیمار محورPalliative care - مراقبت تسکینی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای کلیوی
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چکیده انگلیسی
The dominant health delivery model for advanced chronic kidney disease (CKD) and end-stage renal disease (ESRD) in the United States, which focuses on provision of dialysis, is ill-equipped to address many of the needs of seriously ill patients. Although palliative care may address some of these gaps in care, its integration into advanced CKD care has been suboptimal due to several health system barriers. These barriers include uneven access to specialty palliative care services, underdeveloped models of care for seriously ill patients with advanced CKD, and misaligned policy incentives. This article reviews policies that affect the delivery of palliative care for this population, discusses reforms that could address disincentives to palliative care, identifies quality measurement issues for palliative care for individuals with advanced CKD and ESRD, and considers potential pitfalls in the implementation of new models of integrated palliative care. Reforming health care delivery in ways that remove policy disincentives to palliative care for patients with advanced CKD and ESRD will fill a critical gap in care.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Kidney Diseases - Volume 71, Issue 6, June 2018, Pages 866-873
Journal: American Journal of Kidney Diseases - Volume 71, Issue 6, June 2018, Pages 866-873
نویسندگان
Manjula Kurella Tamura, Ann M. O'Hare, Eugene Lin, Laura M. Holdsworth, Elizabeth Malcolm, Alvin H. Moss,