CKD in General Populations and Primary Care
CKD in General Populations and Primary Care
Substantial progress has been made over the last decade in improving the detection of CKD in primary care through the introduction of eGFR reporting. Several studies have, however, identified widespread deficiencies in the care of people with CKD in primary care (though similar deficiencies are reported in secondary care). Low levels of confidence in managing CKD amongst primary care practitioners likely account for some of the poor performance and point to a need for improved education.
Recent studies suggest that incentivizing primary care practitioners to achieve therapeutic goals improves performance and specific quality improvement strategies such as audit-based education are also effective. Future efforts should focus on the interventions to improve self-management of CKD through the use of the Internet and telemedicine.
Conclusion
Substantial progress has been made over the last decade in improving the detection of CKD in primary care through the introduction of eGFR reporting. Several studies have, however, identified widespread deficiencies in the care of people with CKD in primary care (though similar deficiencies are reported in secondary care). Low levels of confidence in managing CKD amongst primary care practitioners likely account for some of the poor performance and point to a need for improved education.
Recent studies suggest that incentivizing primary care practitioners to achieve therapeutic goals improves performance and specific quality improvement strategies such as audit-based education are also effective. Future efforts should focus on the interventions to improve self-management of CKD through the use of the Internet and telemedicine.