Table 2.
Characteristica/Physician Attitudes | All (n = 244) | PCPs (n = 124) | Nephrologists (n = 120) | P |
---|---|---|---|---|
Perceived ancillary support | <0.001 | |||
lacking | 102 (42) | 68 (55) | 34 (28) | |
sufficient | 139 (57) | 55 (44) | 84 (70) | |
Medical care I provide slows diseaseb | <0.001 | |||
no | 34 (14) | 28 (23) | 6 (5) | |
yes | 207 (85) | 94 (76) | 113 (94) | |
Insurance plays role in referralc | 0.014 | |||
never/rarely | 205 (84) | 112 (90) | 93 (78) | |
often/always | 33 (14) | 9 (7) | 24 (20) | |
Difficulty referring to nephrologyd | NA | |||
never/rarely | – | 106 (85) | ||
often/always | 17 (14) | – | ||
Patients referred too latee | NA | |||
disagree | – | – | 55 (46) | |
agree | 63 (53) | |||
Inappropriate medicationsf | NA | |||
disagree | – | – | 82 (68) | |
agree | 35 (29) | |||
Practice too full to accommodateg | NA | |||
disagree | – | – | 105 (88) | |
agree | 11 (9) |
Values expressed as number (percent). Percentages may not equal 100% because of missing values.
Of 244 physicians recommending nephrology referral and answering question regarding collaborative care.
Physicians were asked if they believed the medical care they implemented for patients such as in the hypothetical scenario helps to slow progression of kidney disease and improve outcomes.
PCPs were asked how often insurance plays a role in their decision to refer to nephrology. Nephrologists were asked if they felt health insurance restricts PCPs' abilities to refer early.
PCPs were asked how often they had difficulty referring to nephrology.
Nephrologists were asked if they felt patients were referred to nephrology late in their care, without time to potentially slow progression of their CKD.
Nephrologists were asked if they felt patients referred to them have been prescribed inappropriate medication regimens.
Nephrologists were asked if they felt they had little capacity to accommodate early CKD patients.