An Investigation of Satellite Hemodialysis Fallbacks in the Province of Ontario | Zendy

Robert M. Lindsay | Zendy; Janet E. Hux | Zendy; David C Holland | Zendy; S. P. Nadler | Zendy; Robert L. Richardson | Zendy; Charmaine Lok | Zendy; Louise Moist | Zendy; David N. Churchill | Zendy

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An Investigation of Satellite Hemodialysis Fallbacks in the Province of Ontario

Author(s) -

Robert M. Lindsay,

Janet E. Hux,

David C Holland,

S. P. Nadler,

Robert L. Richardson,

Charmaine Lok,

Louise Moist,

David N. Churchill

Publication year - 2009

Publication title -

clinical journal of the american society of nephrology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.755

H-Index - 151

eISSN - 1555-905X

pISSN - 1555-9041

DOI - 10.2215/cjn.02890608

Subject(s) - medicine , dialysis , population , hemodialysis , emergency medicine , satellite , nephrology , medical emergency , environmental health , engineering , aerospace engineering

In Ontario, Canada, hemodialysis services are organized in a "hub and spoke" model comprised of regional centers (hubs), satellites, and independent health facilities (IHFs; spokes). Rarely is a nephrologist on site when dialysis treatments take place at satellite units or IHFs. Situations occur that require transfer of the patient back ("fallbacks") to the regional center that necessitate either in- or outpatient care. Growth in the satellite dialysis population has led to an increased burden on the regional centers. This study was carried out to determine the incidence, nature, and outcome of such fallbacks to aid resource planning.

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