Start PD or not? |
No. 1: Kidney Disease Therapy Society cooperative programme |
National CKD cooperative programme between general practitioners and specialists (shared clinical pathways)
National CKD education programme (outpatient consultations with clinicians, pamphlets, public lectures)
National PD promotion programme (educational sessions with clinicians, pamphlets, public lectures)
National HD; home promotion programme (outpatient consultations with clinicians, pamphlets, public lectures)
|
PD
HD; in-centre
HD; home
Transplantation
|
No |
PD |
No |
No |
n.a. |
Yes |
Yes |
What type of dialysis modality? |
No. 2: structured modality information programme |
Multiple outpatient consultations with clinicians (n.a.)
Decision-making tools (printed materials, DVDs)
Visits to treatment centres
|
PD
HD
|
Yes |
No |
Yes |
No |
n.a. |
Yes |
Yes |
Transplantation or dialysis? |
No. 3: Reducing Disparities in Access to KidNey Transplantation |
Facility policy and protocol level activities (transplant referral improvement plan, quality improvement assistance and review, transplant referral/evaluation data reports, patient/family advisory group, peer mentor programme, transplant education month, facility-wide movie night, journal goals, obstacles and successes)
Facility leadership and staff level activities (kick-off to improve transplant referrals, transplant conference, monthly webinars, electronic module on patient safety and transplantation)
Patient-level activities (bulletin board, paper handouts/pamphlets, iChoose Kidney decision aid, living ACTS DVD)
|
Dialysis
DDKT
LDKT
|
Yes |
Transplantation |
Yes |
No |
n.a. |
Yes |
Yes |
No. 4: shared decision-making programme |
Three outpatient consultations with renal disease case manager (n.a)
Decision support tool (paper based)
Three phone calls with renal disease case manager (n.a.)
|
PD
HD
Transplantation
|
Yes |
No |
Yes |
No |
n.a. |
Not reported |
Yes |
Transplantation, dialysis or CCM? |
No. 5: Haemodialysis Orientation Unit |
Physically separate HD orientation unit with own staff
Multiple outpatient consultations with clinicians (n.a.)
Printed materials (posters, drawings, flash cards)
Videos (n.a.)
6 weeks curriculum with weekly tasks for patients
|
PD
HD; in-centre
HD; home
Transplantation
CCM
|
No |
Self-care dialysis modalities |
No |
Yes |
n.a. |
Yes |
Yes |
No. 6: shared decision-making process for kidney replacement therapy choice |
Multiple outpatient consultations with clinicians (2,5 hours total)
Printed materials (flipcharts, brochures, leaflets, forms, values cards)
Decision-making software (two electronic questionnaires)
One DVD (n.a.)
|
PD; APD
PD; CAPD
HD; in-centre
HD; home HD
DDKT
LDKT
CCM
|
Yes |
No |
Yes |
No |
n.a. |
Yes |
Yes |
No. 7: GUIDE |
One home visit by case manager (n.a)
Electronic questionnaire for case manager and nephrologist (n.a.)
Electronic questionnaire for patient (n.a.)
Electronic dashboard (n.a.)
One multidisciplinary conference (n.a.)
One session of individual education from clinicians (n.a.)
Printed materials (brochures)
Videos (n.a.)
Chance to meet peer patients
|
PD
HD, in-centre
HD, home
Transplantation
CCM
|
Yes |
Transplantation |
Yes |
No |
n.a. |
Yes |
Yes |
No. 8: Unplanned dialysis start (UPS) |
Process improvement approach to analyse UPS patient flow in dialysis units
Three sessions of individual education with nurse (n.a.)
Printed materials (booklet, photograph based book)
One video (n.a.)
Visits to treatment centres
Decision aids (decision cards, self-completion balance scale, Ottawa online decision aid)
|
PD
HD, in-centre
HD, home
Transplantation
CCM
|
Yes |
No |
Yes |
No |
n.a. |
Yes |
Yes |
No. 9: shared decision-making for renal replacement therapy |
Electronic health information order system (n.a.)
Internet-based patient educational programme (n.a.)
Electronic decision-making questionnaire (n.a.)
Interactive games (n.a.)
Videos (n.a.)
|
PD
HD
Transplantation
CCM
|
Yes |
PD
Transplantation
|
Yes |
No |
n.a. |
yes |
Yes |