Parker Thomas F, Blantz Roland, Hostetter Thomas, Himmelfarb Jonathan, Kliger Alan, Lazarus Michael, Nissenson Allen R, Pereira Brian, Weiss James
Dallas Nephrology Associates, University of Texas Southwestern Medical School, Dallas, TX 75235, USA.
J Am Soc Nephrol. 2004 Mar;15(3):708-16. doi: 10.1097/01.asn.0000112129.20838.3f.
The Chronic Kidney Disease Initiative was implemented at the request of the Council of American Kidney Societies to formulate a plan of action to solve many of the perceived problems associated with identifying, caring for, and attaining the best outcomes for patients with chronic kidney disease. With the assistance of a community of stakeholders and a formalized workshop and process, the Chronic Kidney Disease Initiative identified the barriers to solving this complicated problem. Barriers were given hierarchical significance, and solutions and action plans to the barriers were formulated. This article describes the process, the barriers encountered, and the solutions required to fully identify and manage this large and complicated population of patients.
慢性肾脏病倡议是应美国肾脏病学会理事会的要求实施的，旨在制定一项行动计划，以解决与慢性肾脏病患者的识别、护理及实现最佳治疗效果相关的诸多问题。在利益相关者群体的协助以及一场正式研讨会和流程的帮助下，慢性肾脏病倡议确定了解决这一复杂问题的障碍。这些障碍被赋予了层级重要性，并针对这些障碍制定了解决方案和行动计划。本文描述了该过程、遇到的障碍以及充分识别和管理这一庞大且复杂患者群体所需的解决方案。
