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Adv Chronic Kidney Dis. 2017 Jan;24(1):6-11. doi: 10.1053/j.ackd.2016.11.019.

Managing CKD by Telemedicine: The Zuni Telenephrology Clinic.

Author information

1
National Kidney Disease Education Program, National Institutes of Health, Bethesda, MD; Zuni Comprehensive Community Health Center, Indian Health Service, Zuni, New Mexico; and Center for Information Technology, National Institutes of Health, Bethesda, MD. Electronic address: narvaa@niddk.nih.gov.
2
National Kidney Disease Education Program, National Institutes of Health, Bethesda, MD; Zuni Comprehensive Community Health Center, Indian Health Service, Zuni, New Mexico; and Center for Information Technology, National Institutes of Health, Bethesda, MD.

Abstract

Telemedicine has significant potential to extend nephrology consultation to rural and isolated communities. We describe a telenephrology clinic that has delivered ongoing consultative care from a nephrologist based at the National Institutes of Health in Bethesda, MD, to the Zuni Comprehensive Health Center in western New Mexico. Over the past 9 years, the clinic has conducted 1870 patient visits managing patients using a collaborative approach engaging a nurse case manager, nephrologist, primary clinicians, pharmacists, and community health nurses. A significant proportion of the care provided is directed toward patients with advanced kidney disease (estimated glomerular filtration rate <30 mL/min/1.73 m2). Although there are unique aspects to the Indian Health Service and to the Zuni community which is served by this clinic, this telemedicine clinic does serve as a demonstration that nephrologic consultative care can be delivered effectively and efficiently to rural high-risk communities using a collaborative and integrated model of care.

KEYWORDS:

Indian Health Service; Kidney disease; Nephrology consultation; Telehealth; Telemedicine

PMID:
28224944
PMCID:
PMC5325060
DOI:
10.1053/j.ackd.2016.11.019
[Indexed for MEDLINE]
Free PMC Article

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