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Fragmentation of care as a barrier to optimal ESKD management.

Publication ,  Journal Article
Sloan, CE; Zhong, J; Mohottige, D; Hall, R; Diamantidis, CJ; Boulware, LE; Wang, V
Published in: Semin Dial
November 2020

Caring for patients with end-stage kidney disease (ESKD) in the United States is challenging, due in part to the complex epidemiology of the disease's progression as well as the ways in which care is delivered. As CKD progresses toward ESKD, the number of comorbidities increases and care involves multiple healthcare providers from multiple subspecialties. This occurs in the context of a fragmented US healthcare delivery system that is traditionally siloed by provider specialty, organization, as well as systems of payment and administration. This article describes the role of care fragmentation in the delivery of optimal ESKD care and identifies research gaps in the evidence across the continuum of care. We then consider the impact of care fragmentation on ESKD care from the patient and health system perspectives and explore opportunities for system-level interventions aimed at improving care for patients with ESKD.

Duke Scholars

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Published In

Semin Dial

DOI

EISSN

1525-139X

Publication Date

November 2020

Volume

33

Issue

6

Start / End Page

440 / 448

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Renal Dialysis
  • Kidney Failure, Chronic
  • Humans
  • Comorbidity
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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Sloan, C. E., Zhong, J., Mohottige, D., Hall, R., Diamantidis, C. J., Boulware, L. E., & Wang, V. (2020). Fragmentation of care as a barrier to optimal ESKD management. Semin Dial, 33(6), 440–448. https://doi.org/10.1111/sdi.12929
Sloan, Caroline E., Judy Zhong, Dinushika Mohottige, Rasheeda Hall, Clarissa J. Diamantidis, Leight E. Boulware, and Virginia Wang. “Fragmentation of care as a barrier to optimal ESKD management.Semin Dial 33, no. 6 (November 2020): 440–48. https://doi.org/10.1111/sdi.12929.
Sloan CE, Zhong J, Mohottige D, Hall R, Diamantidis CJ, Boulware LE, et al. Fragmentation of care as a barrier to optimal ESKD management. Semin Dial. 2020 Nov;33(6):440–8.
Sloan, Caroline E., et al. “Fragmentation of care as a barrier to optimal ESKD management.Semin Dial, vol. 33, no. 6, Nov. 2020, pp. 440–48. Pubmed, doi:10.1111/sdi.12929.
Sloan CE, Zhong J, Mohottige D, Hall R, Diamantidis CJ, Boulware LE, Wang V. Fragmentation of care as a barrier to optimal ESKD management. Semin Dial. 2020 Nov;33(6):440–448.
Journal cover image

Published In

Semin Dial

DOI

EISSN

1525-139X

Publication Date

November 2020

Volume

33

Issue

6

Start / End Page

440 / 448

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Renal Dialysis
  • Kidney Failure, Chronic
  • Humans
  • Comorbidity
  • 3202 Clinical sciences
  • 1103 Clinical Sciences