• Seminars in dialysis · Mar 2013

    Using an electronic self-management tool to support patients with chronic kidney disease (CKD): a CKD clinic self-care model.

    • Stephanie W Ong, Sarbjit V Jassal, Eveline Porter, Alexander G Logan, and Judith A Miller.
    • Division of Nephrology, University Health Network, Toronto, ON, Canada.
    • Semin Dial. 2013 Mar 1; 26 (2): 195-202.

    AbstractNew healthcare delivery models are needed to enhance the patient experience and improve quality of care for individuals with chronic conditions such as kidney disease. One potential avenue is to implement self-management strategies. There is growing evidence that self-management interventions help optimize various aspects of chronic disease management. With the increasing use of information technology (IT) in health care, chronic disease management programs are incorporating IT solutions to support patient self-management practices. IT solutions have the ability to promote key principles of self-management, namely education, empowerment, and collaboration. Positive clinical outcomes have been demonstrated for a number of chronic conditions when IT solutions were incorporated into self-management programs. There is a paucity of evidence for self-management in chronic kidney disease (CKD) patients. Furthermore, IT strategies have not been tested in this patient population to the same extent as other chronic conditions (e.g., diabetes, hypertension). Therefore, it is currently unknown if IT strategies will promote self-management behaviors and lead to improvements in overall patient care. We designed and developed an IT solution called My KidneyCare Centre to support self-management strategies for patients with CKD. In this review, we discuss the rationale and vision of incorporating an electronic self-management tool to support the care of patients with CKD.© 2013 Wiley Periodicals, Inc.

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