Model for Equitable Care and Outcomes for Remote Full Care Hemodialysis Units
Author(s) -
Keevin Bernstein,
James Zacharias,
James Blanchard,
Bing-feng Yu,
Souradet Y. Shaw
Publication year - 2010
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.04550709
Subject(s) - medicine , hemodialysis , proportional hazards model , dialysis , nephrology , home hemodialysis , ambulatory care , emergency medicine , intensive care medicine , medical emergency , health care , economics , economic growth
Remotely located patients not living close to a nephrologist present major challenges for providing care. Various models of remotely delivered care have been developed, with a gap in knowledge regarding the outcomes of these heterogeneous models. This report describes a satellite care model for remote full-care hemodialysis units managed homogenously in the province of Manitoba, Canada, without onsite nephrologists. Survival in remotely located full-care units is compared with a large, urban full-care center with onsite nephrologists.
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