Download

Download eBook for Free

Full Document

FormatFile SizeNotes
PDF file 0.5 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Summary Only

FormatFile SizeNotes
PDF file 0.1 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback94 pages $20.00 $16.00 20% Web Discount

Examines changes in nephrology as it evolves from a focus on end-stage renal disease (ESRD) to the treatment of earlier stages of chronic kidney disease (CKD). Once patients reach ESRD, treatments are limited to kidney transplantation and dialysis. However, the progression of earlier stages of CKD can be slowed, halted, or reversed when treated. Data from 15 clinics focusing on CKD are examined, with the focus on six case studies. Clinics are still establishing best-practice models, and reimbursement remains a challenge. Recommendations also include widespread education for primary care physicians on how to interpret levels of kidney function and on referral of patients with decreased kidney function to nephrologists before ESRD is reached.

Table of Contents

  • Chapter One

    Introduction: Chronic Kidney Disease, a Major Public Health Imperative

  • Chapter Two

    Overview of Findings

  • Chapter Three

    The Chronic Kidney Disease Clinic at Northwestern University, Chicago, Illinois

  • Chapter Four

    Associates in Nephrology, Chicago, Illinois

  • Chapter Five

    Mayo Clinic Nephrology, Jacksonville, Florida

  • Chapter Six

    Indiana Medical Associates, Fort Wayne, Indiana

  • Chapter Seven

    St. Clair Specialty Physicians, P.C., Detroit, Michigan

  • Chapter Eight

    Winthrop University Hospital, Division of Nephrology and Hypertension, Mineola, Long Island, New York

  • Chapter Nine

    Conclusions and Recommendations

  • Appendix

    Interview Template

This work was sponsored by the National Institutes of Health's National Center for Research Resources, which funded the Comprehensive Center for Health Disparities at Charles Drew University. The research was conducted in RAND Health, a division of the RAND Corporation.

This report is part of the RAND Corporation technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.