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Identifying barriers and facilitators to person-centered integrated care for individuals with mild to moderate chronic kidney disease and multimorbidity

End Date: July 1, 2024

Survey Link:  If you would like to participate, please contact the study coordinator at

View the poster here.

How is person-centered and integrated care for people with kidney disease and multimorbidity? Patients in Canada with chronic kidney disease and those that care for them have identified person-centered integrated care as a research priority area, but there is little research on this type of care for patients with mild to moderate chronic kidney disease and other health conditions. In 2023, we asked patients, caregivers, and healthcare providers from Alberta to evaluate their experience using a validated survey based on the Rainbow Model of Integrated Care. Participants identified some strengths, as well as gaps.
Now, we are looking to learn more about the barriers and enablers to providing person-centered integrated care for this population. We would like to invite healthcare providers (primary care physicians, nephrologists, nurses, pharmacists, dietitians, etc.) and administrators who provide care for patients with early-stage kidney disease and multi-morbidity to participate in a 30-minute telephone interview. A $50 gift card will be provided to compensate you for your time.
We are also inviting people with kidney disease (non-dialysis, non-transplant) and multimorbidity, as well as their caregivers, to participate in interviews. Participants must be over the age of 18 and located in Alberta.

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My name is Smitha Yaltho and I feel privileged to work as a family physician. Why? I believe that being a family physician has been the best job any physician can hope to have. I have personally grown in my own abilities and skill-sets with diverse opportunities in ambulatory practice, acute care and work in Facility Living.  Working in primary care has been exciting and has also afforded me tremendous opportunities for growth while still remaining stimulating in its complexity.  I believe that Family physicians are trusted partners in patient care –  every step of the way. 

Why are you volunteering to serve on this committee?
I currently have an interest in Physician Leadership and  trauma informed care.  I have served as a director with the Board of Directors with the Edmonton North PCN, Edmonton’s largest PCN. Thereafter, I have worked as the Director of Medical Services with CapitalCare (also based in Edmonton) for almost 6 years. It is my express wish that my contribution on the ACFP board of directors will highlight the excellence of family medicine that exists right here and now within the Alberta health care system. 

What about the ACFP’s work do you find most valuable?
Ability to highlight and further support the excellence of primary care right here in Alberta.