CMO Looks at Ways To Put Meaning Behind 'Quality Care'
Article/interview from Nephrology News & Issues.
Editor's note: Having read the Seminars in Dialysis article, I found that Dr. Maddux paints a disturbing picture of quality care. He not only embraces a Big Data approach, but also one with strong Big Brother overtones. He envisions constant monitoring and feedback, on and off dialysis, to make patients more compliant with their treatment regimens. I believe most patients want to live as normal lives as possible.
There is virtually no mention of meeting the long ignored psychosocial needs of dialysis patients. Likewise, as usual for Dr. Maddux, there were no significant statements about patient employment and rehabilitation.
There was also no mention of the role of financial incentives in quality dialysis care. Considering that he and other prominent, for-profit, CMOs are practicing dialysis-care nephrology with hundreds of millions in junk-bond debt around their necks, these motivating forces cannot be ignored unless one does not want them to significantly change.
His paths to quality dialysis care all center on using existing dialysis technology and infrastructure. Any innovations that he suggests are mere extensions of existing Fresenius Medical Care infrastructure. With his company's investment in thousands of dialysis clinics and tens of thousands dialysis machines, he does not even mention new and evolving technologies that would make patients' lives so much better.
In the same issue of Seminars in Dialysis, the CMO of the largest non-profit dialysis provider emphasized his company's role in helping patients receive a kidney transplant. Again, Dr. Maddux does not even mention transplantation.