dc.contributor.author | Abdel-Kader, Khaled | |
dc.contributor.author | Cavanaugh, Kerri | |
dc.date.accessioned | 2020-08-24T21:07:01Z | |
dc.date.available | 2020-08-24T21:07:01Z | |
dc.date.issued | 2019-08-22 | |
dc.identifier.citation | Sperati, C. J., Soman, S., Agrawal, V., Liu, Y., Abdel-Kader, K., Diamantidis, C. J., Estrella, M. M., Cavanaugh, K., Plantinga, L., Schell, J., Simon, J., Vassalotti, J. A., Choi, M. J., Jaar, B. G., Greer, R. C., & National Kidney Foundation Education Committee (2019). Primary care physicians' perceptions of barriers and facilitators to management of chronic kidney disease: A mixed methods study. PloS one, 14(8), e0221325. https://doi.org/10.1371/journal.pone.0221325 | en_US |
dc.identifier.issn | 1932-6203 | |
dc.identifier.uri | http://hdl.handle.net/1803/15567 | |
dc.description | Only Vanderbilt University affiliated authors are listed on VUIR. For a full list of authors, access the version of record at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6705804/ | en_US |
dc.description.abstract | Background
Given the high prevalence of chronic kidney disease (CKD), primary care physicians (PCPs) frequently manage early stage CKD. Nonetheless, there are challenges in providing optimal CKD care in the primary care setting. This study sought to understand PCPs' perceptions of barriers and facilitators to the optimal management of CKD.
Study design
Mixed methods study
Settings and participants
Community-based PCPs in four US cities: Baltimore, MD; St. Louis, MO; Raleigh, NC and San Francisco, CA.
Methodology
We used a self-administered questionnaire and conducted 4 focus groups of PCPs (n = 8 PCPs/focus group) in each city to identify key barriers and facilitators to management of patients with CKD in primary care.
Analytic approach
We conducted descriptive analyses of the survey data. Major themes were identified from audio-recorded interviews that were transcribed and coded by the research team.
Results
Of 32 participating PCPs, 31 (97%) had been in practice for >10 years, and 29 (91%) practiced in a non-academic setting. PCPs identified multiple barriers to managing CKD in primary care including at the level of the patient (e.g., low awareness of CKD, poor adherence to treatment recommendations), the provider (e.g., staying current with CKD guidelines), and the health care system (e.g., inflexible electronic medical record, limited time and resources). PCPs desired electronic prompts and lab decision support, concise guidelines, and healthcare financing reform to improve CKD care.
Conclusions
PCPs face substantial but modifiable barriers in providing care to patients with CKD. Interventions that address these barriers and promote facilitative tools may improve PCPs' effectiveness and capacity to care for patients with CKD. | en_US |
dc.description.sponsorship | This work was supported by the National Kidney Foundation of Maryland and the National Kidney Foundation. Members of the National Kidney Foundation Education Committee conducted all aspects of the project. The work was also supported by the National Institutes of Health grant K23DK094975 (Greer) and R01DK10393501A1 (Cavanaugh) and the Johns Hopkins Doris Duke Early Clinician Investigator Award (Greer). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | PLoS One | en_US |
dc.rights | his is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication. | |
dc.source.uri | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6705804/ | |
dc.title | Primary care physicians' perceptions of barriers and facilitators to management of chronic kidney disease: A mixed methods study | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1371/journal.pone.0221325 | |