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[Clinical care pathway for chronic kidney disease : development and perspectives]
J Nortier1, V Plennevaux1, A Nolf1
1Service de Néphrologie, Dialyse et Transplantation rénale, Hôpital Erasme, ULB.
Belgian healthcare authorities implemented a clinical care pathway (CCP) for chronic kidney disease (CKD) patients. This initiative aimed to improve patient outcomes and reduce dialysis costs through multidisciplinary care and patient empowerment.
Area of Science:
- Nephrology
- Public Health Policy
- Patient Education
Context:
- Significant costs associated with end-stage kidney disease treatment by dialysis.
- Belgian Health Care Authorities' 2009 proposal for early multidisciplinary care plans for chronic kidney disease (CKD) patients.
- Implementation of a clinical care pathway (CCP) involving general practitioners and nephrologists.
Purpose:
- To increase nephro-protection measures.
- To reduce patient morbidity and mortality.
- To delay the need for dialysis admission.
Summary:
- Erasme Hospital's Nephrology Department established therapy education workshops within the CCP framework.
- Workshops focus on patient empowerment, enhancing compliance and autonomy through a health professional and patient partner model.
- Patient partners contribute valuable lived experience, complementing professional knowledge.
Impact:
- The patient partnership (PP) model enhances patient compliance and autonomy in managing chronic kidney disease.
- PP is integrated into academic hospital quality projects and co-construction of future healthcare networks.
- This collaborative approach holds potential for teaching, research, and healthcare service organization and political program development.
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