Primary care physicians' perceived barriers, facilitators and strategies to enhance conservative care for older adults with chronic kidney disease: a qualitative descriptive study.

Journal: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
PMID: 26681733

Abstract

BACKGROUND: Although primary care physicians (PCPs) are often responsible for the routine care of older adults with chronic kidney disease (CKD), there is a paucity of evidence regarding their perspectives and practice of conservative (non-dialysis) care. We undertook a qualitative study to describe barriers, facilitators and strategies to enhance conservative, non-dialysis, CKD care by PCPs in the community.

Authors

  • Helen Tam-Tham
    Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, AB, Canada.
  • Brenda R Hemmelgarn
    Department of Medicine, Division of Nephrology, University of Alberta, Edmonton, AB, Canada.
  • David J T Campbell
    Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, AB, Canada.
  • Chandra M Thomas
    Department of Medicine, Cumming School of Medicine, University of Calgary, Alberta, AB, Canada.
  • Karen Fruetel
    Department of Medicine, Cumming School of Medicine, University of Calgary, Alberta, AB, Canada.
  • Robert R Quinn
    Cumming School of Medicine, Division of Nephrology, University of Calgary, Calgary, AB, Canada.
  • Kathryn M King-Shier
    Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, AB, Canada.

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