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Patient Perceptions of a Population Health Management Program to Improve Kidney Care: Optimizing care in CKD
Linda-Marie U Lavenburg1, Susan M Devaraj1, Ambreen Gul1
1Renal-Electrolyte Division, University of Pittsburgh Medical Center, Pittsburgh, PA.
Kidney Medicine
|July 3, 2025
Summary
Patients with chronic kidney disease (CKD) supported CKD comanagement by primary care providers and nephrologists. However, CKD education needs improvement for better understanding of disease progression and risk.
Area of Science:
- Nephrology
- Population Health Management
- Health Services Research
Background:
- Chronic kidney disease (CKD) affects high-risk patients not seeing nephrologists.
- Population health management interventions aim to improve CKD care and outcomes.
- Kidney CHAMP trial targeted primary care providers (PCPs) with nephrology e-consult, pharmacist support, and nurse education.
Purpose of the Study:
- To explore patient perceptions of the Kidney CHAMP intervention.
- To assess if the intervention improved patient understanding of CKD.
Main Methods:
- Ancillary qualitative study of the Kidney CHAMP trial.
- Semistructured interviews with 45 patients from the intervention group.
- Thematic analysis of transcribed interviews to identify key themes.
Main Results:
- Patients supported CKD comanagement between PCPs and nephrology teams.
- CKD education sessions showed variable impact on patient understanding.
- Patient self-efficacy and understanding were influenced by comprehension of CKD's health implications.
- Patients desired more frequent and individualized educational guidance.
Conclusions:
- Primary care-managed CKD patients are receptive to remote nephrology comanagement.
- Current CKD health education is partially beneficial but requires enhanced strategies for risk communication.
- Improved communication is needed regarding CKD development and progression risks.
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