BRIEF RESEARCH REPORT article
Front. Health Serv.
Sec. Patient Centered Health Systems
Volume 5 - 2025 | doi: 10.3389/frhs.2025.1655472
This article is part of the Research TopicChallenges, Opportunities & Outcomes of Patient-Oriented Research in Learning Health SystemsView all 6 articles
Measuring person-centered integrated care for people living with mild to moderate chronic kidney disease and multimorbidity: A cross-sectional survey
Provisionally accepted
Taylor Hecker1
Sabrina Jassemi1*
Liza Tymchenko2Nancy Verdin3Nazret Russon3Meghan J Elliott1Brenda Hemmelgarn4
Maria Jose Santana1Kimberly Manalili5
Kerry McBrien1,5
Aminu Bello6Amity Quinn1Pim Valentijn2,7
Maoliosa Donald1*- 1Department of Community Health Sciences, University of Calgary Cumming School of Medicine, Calgary, Canada
- 2Essenburgh group, Harderwijk, Netherlands
- 3University of Calgary, Calgary, Canada
- 4Department of Medicine, University of Alberta, Edmonton, Canada
- 5Department of Family Medicine, University of Calgary, Calgary, Canada
- 6Department of Family Medicine, University of Alberta, Edmonton, Canada
- 7Hanzehogeschool Groningen, Groningen, Netherlands
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Introduction: Person-centered integrated care (PC-IC) has been shown to improve health outcomes for individuals with chronic conditions. However, there is limited evidence measuring PC-IC delivery to people with mild to moderate chronic kidney disease and co-morbidities. We aimed to assess PC-IC delivery for this population in Alberta, Canada. Methods: We conducted a survey (May-December 2023) using the Rainbow Model of Integrated Care Measurement Tool via weblink or telephone to quantify PC-IC using a 5-point Likert agreement scale. Patients with chronic kidney disease (non-dialysis, non-transplant) and co-morbidities, caregivers, and health care providers in Alberta were invited to participate. Participants were recruited through various methods, including in-clinic posters and web-based posts. We assessed responses using descriptive and non-parametric analyses (e.g., Mann–Whitney U test). Results: Ninety-seven eligible individuals completed the survey; 24 patients, 12 caregivers, and 61 health care providers. Caregivers rated PC-IC significantly lower than patients (overall score: 3.36/5 and 3.91/5, respectively, p<0.05) and health care providers rated PC-IC moderately (3.56/5). The lowest scored domain was care coordination amongst patients and caregivers (3.43/5 and 3/5, respectively, p<0.05) and regional health care laws/regulations amongst health care providers (2.94/5). Conclusion: Survey respondents recognized that the overall delivery of PC-IC is not optimal and identified key areas to address including improving care coordination (e.g., communication between providers) and tackling regional health care laws/regulations (e.g., funding models). Our study highlights the need for further exploration regarding why PC-IC is perceived as suboptimal, particularly among subgroups, and how it can be improved.
Keywords: chronic kidney disease1, Multimorbidity2, person-centered integrated care3, multidisciplinary care4, patient-oriented research5
Received: 27 Jun 2025; Accepted: 01 Sep 2025.
Copyright: © 2025 Hecker, Jassemi, Tymchenko, Verdin, Russon, Elliott, Hemmelgarn, Santana, Manalili, McBrien, Bello, Quinn, Valentijn and Donald. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Sabrina Jassemi, Department of Community Health Sciences, University of Calgary Cumming School of Medicine, Calgary, Canada
Maoliosa Donald, Department of Community Health Sciences, University of Calgary Cumming School of Medicine, Calgary, Canada
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