Journal article
An Investigation of Satellite Hemodialysis Fallbacks in the Province of Ontario
Abstract
BACKGROUND AND OBJECTIVES: In Ontario, Canada, hemodialysis services are organized in a "hub and spoke" model comprised of regional centers (hubs), satellites, and independent health facilities (IHFs; spokes). Rarely is a nephrologist on site when dialysis treatments take place at satellite units or IHFs. Situations occur that require transfer of the patient back ("fallbacks") to the regional center that necessitate either in- or outpatient …
Authors
Lindsay RM; Hux J; Holland D; Nadler S; Richardson R; Lok C; Moist L; Churchill D
Journal
Clinical Journal of the American Society of Nephrology, Vol. 4, No. 3, pp. 603–608
Publisher
Wolters Kluwer
Publication Date
3 2009
DOI
10.2215/cjn.02890608
ISSN
1555-9041
Fields of Research (FoR)
Medical Subject Headings (MeSH)
AdolescentAdultAgedAged, 80 and overCommunity Health CentersDelivery of Health CareFemaleHospitalizationHospitals, SatelliteHumansKidney TransplantationLength of StayMaleMiddle AgedNational Health ProgramsNephrologyOntarioOutcome and Process Assessment, Health CarePatient TransferPersonnel Staffing and SchedulingRegional Health PlanningRenal DialysisRisk AssessmentRisk FactorsTreatment OutcomeYoung Adult