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Abstract: PO0914

Triple I Study: Hubs of Care Survey

Session Information

Category: Dialysis

  • 701 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Talson, Melanie D., University of Manitoba Max Rady College of Medicine, Winnipeg, Manitoba, Canada
  • Tonelli, Marcello, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada
  • Bohm, Clara, University of Manitoba Max Rady College of Medicine, Winnipeg, Manitoba, Canada

Group or Team Name

  • Can-SOLVE CKD Triple I Study Team
Background

The Can-SOLVE CKD Triple I Study identified continuity of care; access to a primary care provider (PCP) in the hemodialysis (HD) unit; and access to care for other medical conditions as key challenges to in-centre HD care (www.betterkidneycare.ca).The Hubs of Care project aims to address these challenges by incorporating health care providers (HCPs) from other settings in the HD unit; firstly, we identify current practice, potential interest and need and desire for different HCPs in HD units.

Methods

A cross-sectional self-reported survey administered Feb-May 2021 with HD patients and staff at four academic sites across Canada. Eligible participants included adults fluent in English or French who could complete the survey independently. The survey asked which HCPs are currently in HD units, which additional HCPs would be most useful to add and whether patients are in favor of other HCPs visiting them either virtually or in-person. Additional data were solicited by free text. Preliminary analyses using descriptive, median (IQR) and proportion and summative content analysis, are presented.

Results

Surveys were completed by 393 individuals (252 HD patients and 141 HCPs). Eighty-three percent of patients and 34% of HCPs were >50 years old. Forty-five percent of patients had been on HD >3 years.
The majority of patients (81.5%) and HCPs (91%) agreed that having other HCPs in HD units would be beneficial; both prefer the addition of diabetic specialists/endocrinologists, mental health specialists and podiatrist/foot care specialists (Table 1). Patients indicated a need for cardiologists. Patients (85%) would like to see a PCP in the HD unit; of those, 87% prefer in-person and 13% prefer virtual.
Qualitative analysis reveals privacy concerns due to the open concept of HD Units; however, the concept of bringing HCPs into the HD unit is regarded as beneficial and time-saving.

Conclusion

In this cross-sectional survey both HD patients and staff identified that, despite privacy concerns, bringing HCPs that provide foot, diabetic and mental health care into the HD unit was a priority with potential for benefit.

Funding

  • Government Support – Non-U.S.