Factors influencing practice variation in the management of nephrotic syndrome: a qualitative study of pediatric nephrology care providers.

ABSTRACT:

Background

Treatment protocols for childhood nephrotic syndrome are highly variable between providers and care centres. We conducted a qualitative study to understand the complex multilevel processes that lead to practice variation and influence provider management of nephrotic syndrome.

Methods

Focus groups with multidisciplinary pediatric nephrology care providers (n = 67) from 10 Canadian pediatric nephrology centres that had more than 1 pediatric nephrologist were conducted between September 2013 and April 2015. Focus group discussions were guided by the Ottawa Model for Research Use. We used a semistructured interview guide to elicit participants' perspectives regarding 1) the work setting and context of the clinical environment, 2) reasons for variation at the p

SUBMITTER: Samuel SM 

PROVIDER: S-EPMC5498309 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature