Table 5.

Comparison of government-funded LC and an urban care center

LCRegional Center Linked to LCUrban Full-Care Center
Proportion of funding45% (nonspecific supplies and staff)55% (dialysis-specific supplies)100%
Patient typeStabilized chronic onlyAny
Treatment typeOnly scheduled chronic treatment; no acute or urgentFor urgent treatments, on the basis of phone consultation, managed conservatively, or transferred to WinnipegChronic and acute or urgent
StaffMRP-trained nursesSenior dialysis nurse Pharmacy/social work/dietary support linked to the LCMRP-trained nurses Pharmacy/social work/dietary support
MedicalOnsite general physicianNephrologistNephrologist only
Model of carePrimary and emergency careWeekly phone rounds to review faxed treatment, lab, drug flow sheets, and intercurrent problemsWeekly walk rounds and onsite coverage
Medical recordMRP dialysis record with flow sheets identical to urban full careShadow chart with faxed flow sheets and informal documentation of weekly phone roundsMRP dialysis record
Vascular access (and other tertiary care support including allied health)Organized with regional site and typically provided by urban tertiary care unitOrganizes various support activitiesAvailable onsite