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Table 2 Patient and provider perceptions of primary care physician and nephrologist care

From: Minding the gap and overlap: a literature review of fragmentation of primary care for chronic dialysis patients

Author, Year Perspective Summary Finding
Bender & Holley, 1996 [14] Nephrologists Confident as primary care provider: 92%
Alexander et al., 1998 [25] Dialysis patients Physician type not associated with patient satisfaction of care
Zimmerman, 2003 [17] Nephrologists Confidence in abilities
• Confident in own ability to provide primary care: 60%
• Not very confident in Family Physician (FP) knowledge and training to provide primary care: 46%
• Not very confident in FP available time to provide good primary care: 51%
Roles and responsibilities
• Nephrologist should not provide all PC for dialysis patients: 80%
• Provision of primary care should be…equally split: 40%
  nephrologist has more responsibility than FP: 18%
  FP has more responsibility than nephrologist: 42%
Family Practitioners Confidence in abilities
• Not very confident in Family Practitioner’s knowledge and training to provide PC: 40%
• Not very confident in Family Practitioner’s available time to provide good PC: 62%
• Nephrologist should not provide all PC for dialysis patients: 85%
Roles and responsibilities
• Nephrologist should not provide all primary care for dialysis patients: 85%
• Provision of primary care should be…equally split: 34%
  nephrologist has more responsibility than FP: 17%
  FP has more responsibility than nephrologist: 40%
Dialysis patients Adequacy of their physicians training and time to address non-dialysis related problems
• Training – Nephrologists: 46.5% Family physicians: 68.5%
• Time – Nephrologists: 36.6% Family physicians: 68.5%
Green, 2012 [15] Dialysis unit staff:
 • Nephrologists,
 • Physician Assistants
 • Nurse Practitioners
• Prior training on symptom treatment for pain (44%), depression (41%), sexual dysfunction (82%)
• Non-nephrologist providers should be responsible for managing pain (59%), depression (82%), sexual dysfunction (63%)
• Somewhat or very comfortable treating pain (69%), depression (69%), sexual dysfunction (48%)
  1. Abbreviations: PC Primary care, PCP Primary care provider, FP Family Practitioner