Using an Electronic Self-Management Tool to Support Patients with Chronic Kidney Disease (CKD): A CKD Clinic Self-Care Model
Stephanie W. Ong
Division of Nephrology, University Health Network, Toronto, ON, Canada
Department of Pharmacy, University Health Network, Toronto, ON, Canada
Search for more papers by this authorSarbjit V. Jassal
Division of Nephrology, University Health Network, Toronto, ON, Canada
Search for more papers by this authorEveline Porter
Division of Nephrology, University Health Network, Toronto, ON, Canada
Search for more papers by this authorAlexander G. Logan
Division of Nephrology, University Health Network, Toronto, ON, Canada
Department of Medicine, Mount Sinai Hospital, Toronto, ON, Canada
Search for more papers by this authorJudith A. Miller
Division of Nephrology, University Health Network, Toronto, ON, Canada
Search for more papers by this authorStephanie W. Ong
Division of Nephrology, University Health Network, Toronto, ON, Canada
Department of Pharmacy, University Health Network, Toronto, ON, Canada
Search for more papers by this authorSarbjit V. Jassal
Division of Nephrology, University Health Network, Toronto, ON, Canada
Search for more papers by this authorEveline Porter
Division of Nephrology, University Health Network, Toronto, ON, Canada
Search for more papers by this authorAlexander G. Logan
Division of Nephrology, University Health Network, Toronto, ON, Canada
Department of Medicine, Mount Sinai Hospital, Toronto, ON, Canada
Search for more papers by this authorJudith A. Miller
Division of Nephrology, University Health Network, Toronto, ON, Canada
Search for more papers by this authorAbstract
New 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.
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