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Healthcare professionals' perceptions of the role of a multidisciplinary approach in improving the care of patients with advanced chronic kidney disease.

Publication ,  Journal Article
Kwek, JL; Griva, K; Kaur, N; Lai, LY; Choo, JCJ; Teo, SH; Lim, LWW; Foo, MWY; Jafar, TH
Published in: International urology and nephrology
December 2020

To explore and understand the experiences of healthcare professionals (HCPs) delivering care in a multidisciplinary care (MDC) clinic for advanced chronic kidney disease (CKD) patients.This is a qualitative study based on semi-quantitative questionnaire and semi-structured interviews with thematic analysis and deductive mapping onto the Theoretical Framework of Acceptability. Sixteen HCPs caring for advanced CKD patients in a MDC clinic in a tertiary teaching hospital in Singapore were recruited based on maximum variation sampling procedures.The majority of the HCPs were supportive of a MDC clinic. There was a positive overall opinion of the programme [median 7.0 of 10.0 (IQR 7.0-8.0)], high satisfaction ratings for interaction with other members of team [6.9 (5.3-8.0)] and time spent with patients [7.0 (5.3-7.0)]. Thematic analysis of the interviews identified the value of MDC clinic in the provision of one-stop care, the improvement in communication and collaboration between HCPs, the facilitation of patient activation to make planned kidney care decisions, and the optimisation of medications. The main challenges were lack of continuity of care, manpower constraints, poor patient navigation between HCPs, poor patient attendance with allied HCPs, and the perception of increased cost and time spent by patients in each MDC clinic visit. The proposed interventions were notification of patients beforehand of the MDC clinic schedule and provision of navigation to patients within the MDC clinic.A multidisciplinary care clinic for advanced chronic kidney disease patients was viewed positively by the majority of the healthcare professionals, with areas for improvement.

Duke Scholars

Published In

International urology and nephrology

DOI

EISSN

1573-2584

ISSN

0301-1623

Publication Date

December 2020

Volume

52

Issue

12

Start / End Page

2357 / 2365

Related Subject Headings

  • Urology & Nephrology
  • Severity of Illness Index
  • Renal Insufficiency, Chronic
  • Quality of Health Care
  • Quality Improvement
  • Qualitative Research
  • Patient Care Team
  • Humans
  • Health Care Surveys
  • Attitude of Health Personnel
 

Citation

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Kwek, J. L., Griva, K., Kaur, N., Lai, L. Y., Choo, J. C. J., Teo, S. H., … Jafar, T. H. (2020). Healthcare professionals' perceptions of the role of a multidisciplinary approach in improving the care of patients with advanced chronic kidney disease. International Urology and Nephrology, 52(12), 2357–2365. https://doi.org/10.1007/s11255-020-02571-2
Kwek, Jia Liang, Konstadina Griva, Navreen Kaur, Lester Yousheng Lai, Jason Chon Jun Choo, Su Hooi Teo, Lydia Wei Wei Lim, Marjorie Wai Yin Foo, and Tazeen Hasan Jafar. “Healthcare professionals' perceptions of the role of a multidisciplinary approach in improving the care of patients with advanced chronic kidney disease.International Urology and Nephrology 52, no. 12 (December 2020): 2357–65. https://doi.org/10.1007/s11255-020-02571-2.
Kwek JL, Griva K, Kaur N, Lai LY, Choo JCJ, Teo SH, et al. Healthcare professionals' perceptions of the role of a multidisciplinary approach in improving the care of patients with advanced chronic kidney disease. International urology and nephrology. 2020 Dec;52(12):2357–65.
Kwek, Jia Liang, et al. “Healthcare professionals' perceptions of the role of a multidisciplinary approach in improving the care of patients with advanced chronic kidney disease.International Urology and Nephrology, vol. 52, no. 12, Dec. 2020, pp. 2357–65. Epmc, doi:10.1007/s11255-020-02571-2.
Kwek JL, Griva K, Kaur N, Lai LY, Choo JCJ, Teo SH, Lim LWW, Foo MWY, Jafar TH. Healthcare professionals' perceptions of the role of a multidisciplinary approach in improving the care of patients with advanced chronic kidney disease. International urology and nephrology. 2020 Dec;52(12):2357–2365.
Journal cover image

Published In

International urology and nephrology

DOI

EISSN

1573-2584

ISSN

0301-1623

Publication Date

December 2020

Volume

52

Issue

12

Start / End Page

2357 / 2365

Related Subject Headings

  • Urology & Nephrology
  • Severity of Illness Index
  • Renal Insufficiency, Chronic
  • Quality of Health Care
  • Quality Improvement
  • Qualitative Research
  • Patient Care Team
  • Humans
  • Health Care Surveys
  • Attitude of Health Personnel