Abstract
There is little comprehensive education for people with end-stage renal disease (ESRD) progress. We investigated the differences in terms of outcomes between patients with CKD stages 3–5 who enrolled and did not enroll in the pre-ESRD care education in Taiwan. This retrospective cohort study was conducted using data from the National Health Insurance Research Database (NHIRD). All patients diagnosed with CKD stages 3–5 who received the pre-ESRD care education through the pay for performance (P4P) program were enrolled. Based on whether or not they participated in the program, they were categorized into P4P or non-P4P groups. All analyses were performed from January 2006 through December 2015. Study outcomes were risk of hemodialysis dependency, hospitalization, and all-cause mortality. In this study of 29,337 patients, those with CKD stages 3–5 in the P4P group had lower events of hemodialysis, hospitalization, and all-cause mortality compared to patients in the non-P4P group. This study suggested that pre-ESRD care education is associated with increased patient outcomes, resulting in lower hemodialysis and hospitalization events and a higher overall survival rate in patients with CKD stages 3–5. Patient education could raise opportunities to improve pre-ESRD care by reaching patients outside the traditional health care setting.
Highlights
There is little comprehensive education for people with end-stage renal disease (ESRD) progress
It has been widely reported that chronic kidney disease (CKD) with end-stage renal disease (ESRD) progress is primarily associated with accelerated hypertension, diabetes mellitus (DM), gout, primary renal disorders, older age, and drug side effects[5]
Pay for performance (P4P) programs used for pre-end-stage renal disease care education in Taiwan is a proper strategy and a promising approach through value-based purchasing on incentives and renal indicators to improve health care quality and disease prognosis for CKD stages [3,4,5] patients since 200621,22
Summary
There is little comprehensive education for people with end-stage renal disease (ESRD) progress. We investigated the differences in terms of outcomes between patients with CKD stages [3,4,5] who enrolled and did not enroll in the pre-ESRD care education in Taiwan This retrospective cohort study was conducted using data from the National Health Insurance Research Database (NHIRD). Pay for performance (P4P) programs used for pre-end-stage renal disease (pre-ESRD) care education in Taiwan is a proper strategy and a promising approach through value-based purchasing on incentives and renal indicators to improve health care quality and disease prognosis for CKD stages [3,4,5] patients since 200621,22. In this study, using the National Health Insurance Research Database (NHIRD), we explored the outcomes of pre-ESRD care education in patients with CKD stage [3,4,5] who benefited of the P4P program in Taiwan
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
