Cargando…
Comprehensive and Personalized Care of the Hemodialysis Patient in Tassin, France: A Model for the Patient-Centered Medical Home for Subspecialty Patients
The Centre de Rein Artificiel in Tassin, France, provides comprehensive care to patients with chronic renal disease similar to the model proposed for Patient Center Medical Homes; patients with end-stage renal disease in the Tassin Hemodialysis Center appear to have better outcomes than patients in...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045491/ https://www.ncbi.nlm.nih.gov/pubmed/24967230 http://dx.doi.org/10.5402/2013/792732 |
_version_ | 1782319327188353024 |
---|---|
author | Anvari, Eva Mojazi Amiri, Hoda Aristimuno, Patricia Chazot, Charles Nugent, Kenneth |
author_facet | Anvari, Eva Mojazi Amiri, Hoda Aristimuno, Patricia Chazot, Charles Nugent, Kenneth |
author_sort | Anvari, Eva |
collection | PubMed |
description | The Centre de Rein Artificiel in Tassin, France, provides comprehensive care to patients with chronic renal disease similar to the model proposed for Patient Center Medical Homes; patients with end-stage renal disease in the Tassin Hemodialysis Center appear to have better outcomes than patients in the United States. These differences likely reflect this center's approach to patient-centered care, the use of longer dialysis times, and focused vascular access care. Longer dialysis times provide better clearance of small and middle toxic molecules, salt, and water; 85% of patients at the Tassin center have a normal blood pressure without the use of antihypertensive medications. The observed mortality rate in patients at the Tassin Center is approximately 50% of that predicted based on the United States Renal Data system standard mortality tables. Patient outcomes at the Tassin center suggest that longer dialysis times and the use of multidiscipline teams led by nephrologists directing all health care needs probably explain the outcomes in these patients. These approaches can be imported into the U.S healthcare system and form the framework for patient-centered medical practice for ESRD patients. |
format | Online Article Text |
id | pubmed-4045491 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-40454912014-06-25 Comprehensive and Personalized Care of the Hemodialysis Patient in Tassin, France: A Model for the Patient-Centered Medical Home for Subspecialty Patients Anvari, Eva Mojazi Amiri, Hoda Aristimuno, Patricia Chazot, Charles Nugent, Kenneth ISRN Nephrol Review Article The Centre de Rein Artificiel in Tassin, France, provides comprehensive care to patients with chronic renal disease similar to the model proposed for Patient Center Medical Homes; patients with end-stage renal disease in the Tassin Hemodialysis Center appear to have better outcomes than patients in the United States. These differences likely reflect this center's approach to patient-centered care, the use of longer dialysis times, and focused vascular access care. Longer dialysis times provide better clearance of small and middle toxic molecules, salt, and water; 85% of patients at the Tassin center have a normal blood pressure without the use of antihypertensive medications. The observed mortality rate in patients at the Tassin Center is approximately 50% of that predicted based on the United States Renal Data system standard mortality tables. Patient outcomes at the Tassin center suggest that longer dialysis times and the use of multidiscipline teams led by nephrologists directing all health care needs probably explain the outcomes in these patients. These approaches can be imported into the U.S healthcare system and form the framework for patient-centered medical practice for ESRD patients. Hindawi Publishing Corporation 2012-12-22 /pmc/articles/PMC4045491/ /pubmed/24967230 http://dx.doi.org/10.5402/2013/792732 Text en Copyright © 2013 Eva Anvari et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Anvari, Eva Mojazi Amiri, Hoda Aristimuno, Patricia Chazot, Charles Nugent, Kenneth Comprehensive and Personalized Care of the Hemodialysis Patient in Tassin, France: A Model for the Patient-Centered Medical Home for Subspecialty Patients |
title | Comprehensive and Personalized Care of the Hemodialysis Patient in Tassin, France: A Model for the Patient-Centered Medical Home for Subspecialty Patients |
title_full | Comprehensive and Personalized Care of the Hemodialysis Patient in Tassin, France: A Model for the Patient-Centered Medical Home for Subspecialty Patients |
title_fullStr | Comprehensive and Personalized Care of the Hemodialysis Patient in Tassin, France: A Model for the Patient-Centered Medical Home for Subspecialty Patients |
title_full_unstemmed | Comprehensive and Personalized Care of the Hemodialysis Patient in Tassin, France: A Model for the Patient-Centered Medical Home for Subspecialty Patients |
title_short | Comprehensive and Personalized Care of the Hemodialysis Patient in Tassin, France: A Model for the Patient-Centered Medical Home for Subspecialty Patients |
title_sort | comprehensive and personalized care of the hemodialysis patient in tassin, france: a model for the patient-centered medical home for subspecialty patients |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045491/ https://www.ncbi.nlm.nih.gov/pubmed/24967230 http://dx.doi.org/10.5402/2013/792732 |
work_keys_str_mv | AT anvarieva comprehensiveandpersonalizedcareofthehemodialysispatientintassinfranceamodelforthepatientcenteredmedicalhomeforsubspecialtypatients AT mojaziamirihoda comprehensiveandpersonalizedcareofthehemodialysispatientintassinfranceamodelforthepatientcenteredmedicalhomeforsubspecialtypatients AT aristimunopatricia comprehensiveandpersonalizedcareofthehemodialysispatientintassinfranceamodelforthepatientcenteredmedicalhomeforsubspecialtypatients AT chazotcharles comprehensiveandpersonalizedcareofthehemodialysispatientintassinfranceamodelforthepatientcenteredmedicalhomeforsubspecialtypatients AT nugentkenneth comprehensiveandpersonalizedcareofthehemodialysispatientintassinfranceamodelforthepatientcenteredmedicalhomeforsubspecialtypatients |