Managing CKD by Telemedicine: The Zuni Telenephrology Clinic.

Autor:	Narva AS; National Kidney Disease Education Program, National Institutes of Health, Bethesda, MD; Zuni Comprehensive Community Health Center, Indian Health Service, Zuni, New Mexico; and Center for Information Technology, National Institutes of Health, Bethesda, MD. Electronic address: narvaa@niddk.nih.gov., Romancito G; National Kidney Disease Education Program, National Institutes of Health, Bethesda, MD; Zuni Comprehensive Community Health Center, Indian Health Service, Zuni, New Mexico; and Center for Information Technology, National Institutes of Health, Bethesda, MD., Faber T; National Kidney Disease Education Program, National Institutes of Health, Bethesda, MD; Zuni Comprehensive Community Health Center, Indian Health Service, Zuni, New Mexico; and Center for Information Technology, National Institutes of Health, Bethesda, MD., Steele ME; National Kidney Disease Education Program, National Institutes of Health, Bethesda, MD; Zuni Comprehensive Community Health Center, Indian Health Service, Zuni, New Mexico; and Center for Information Technology, National Institutes of Health, Bethesda, MD., Kempner KM; National Kidney Disease Education Program, National Institutes of Health, Bethesda, MD; Zuni Comprehensive Community Health Center, Indian Health Service, Zuni, New Mexico; and Center for Information Technology, National Institutes of Health, Bethesda, MD.
Jazyk:	angličtina
Zdroj:	Advances in chronic kidney disease [Adv Chronic Kidney Dis] 2017 Jan; Vol. 24 (1), pp. 6-11.
DOI:	10.1053/j.ackd.2016.11.019
Abstrakt:	Telemedicine has significant potential to extend nephrology consultation to rural and isolated communities. We describe a telenephrology clinic that has delivered ongoing consultative care from a nephrologist based at the National Institutes of Health in Bethesda, MD, to the Zuni Comprehensive Health Center in western New Mexico. Over the past 9 years, the clinic has conducted 1870 patient visits managing patients using a collaborative approach engaging a nurse case manager, nephrologist, primary clinicians, pharmacists, and community health nurses. A significant proportion of the care provided is directed toward patients with advanced kidney disease (estimated glomerular filtration rate <30 mL/min/1.73 m 2 ). Although there are unique aspects to the Indian Health Service and to the Zuni community which is served by this clinic, this telemedicine clinic does serve as a demonstration that nephrologic consultative care can be delivered effectively and efficiently to rural high-risk communities using a collaborative and integrated model of care. (Published by Elsevier Inc.)
Databáze:	MEDLINE
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