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The Chronic Care Model, Kidney Disease, and Primary Care: A Scoping Review
1Assistant Professor, University of Alaska Anchorage School of Nursing, Anchorage, AK.
Abstract:
Early diagnosis and management of chronic kidney disease (CKD) in primary care settings remains complex. Nephrology nurses have the opportunity to positively impact this care trajectory. The Chronic Care Model has been applied as a means to improve chronic care management. A scoping review was conducted to identify how elements of the Chronic Care Model have been applied to CKD identification and early management in primary care settings. Elements of the Chronic Care Model were applied across studies and quality improvement projects to various degrees. Nurses, especially those with CKD knowledge, were highlighted as integral parts of successful interventions.
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Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...

