Establishment of integrative medicine with patient first model in the clinical practice of hemodialysis access
10.3760/cma.j.cn441217-20221220-01227
- VernacularTitle:“以患者为中心”整合诊疗模式在血液透析血管通路临床实践中的应用
- Author:
Pei WANG
1
;
Zhangsuo LIU
Author Information
1. 郑州大学第一附属医院血液净化中心，郑州450052
- Keywords:
Renal dialysis;
Organization and administration;
Integrative medicine;
Vascular access;
Clinical practice
- From:
Chinese Journal of Nephrology
2023;39(5):325-329
- CountryChina
- Language:Chinese
-
Abstract:
Vascular accesses are the lifelines for hemodialysis patients. This paper proposes to establish an integrative medicine with patient first model in the clinical practice of vascular access based on characters of hemodialysis patients and combined with the domestic and global innovation of management of vascular access. This model emphasizes the integration of vascular access plan with the whole life plan of renal replacement therapy, the combination of characters of vessel and entire condition of the patient, as well as balanced with patient's psychosocial characters. To implement this model in clinical practice, a multidisciplinary team with different professional background should be built, suitable job position should be set up and workflows should be formulated and optimized.
