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Provider perspectives on chronic kidney disease diagnosis delivery
Clinical Nephrology
|October 24, 2017
Summary
Provider communication about chronic kidney disease (CKD) diagnosis lacks consistency in timing and terminology. Addressing these communication barriers is crucial for improving patient awareness and understanding of CKD.
Area of Science:
- Nephrology
- Medical Communication
- Quality Improvement
Background:
- Patient awareness of chronic kidney disease (CKD) is often low.
- Lack of clear provider communication is a potential contributing factor to poor patient awareness.
Purpose of the Study:
- To explore provider perspectives on delivering a chronic kidney disease (CKD) diagnosis.
- To identify barriers and facilitators in communicating CKD diagnoses to patients.
Main Methods:
- One-on-one interviews were conducted with 24 healthcare providers (18 nephrologists, 6 PCPs).
- Interviews were audio-recorded, transcribed, and analyzed using thematic analysis and Fisher's exact test.
Main Results:
- Four key themes emerged: informing patients, timing of diagnosis, language used, and challenges in delivery.
- While most providers agreed patients should be informed (87.5%), consensus on early communication was lower (76%).
- Inconsistent terminology was observed, with only half of nephrologists using "Chronic Kidney Disease" while no PCPs did; common challenges included perceived difficulty, time constraints, and patient denial.
Conclusions:
- Provider perspectives on CKD diagnosis communication are not unified, particularly regarding timing and terminology.
- Barriers to effective and efficient communication of CKD diagnosis need further investigation and intervention.
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