5 | CONCLUSION
This is the first study to our knowledge to explore the experience and
perspectives between nephrologists and patients with advanced CKD about
self-referral and treatment decision-making. Our study identified that
organizational and demographic factors, self-referral motives worked
together at the self-referral decision-making and treatment
decision-making when advanced CKD patients facing with healthcare
facilities and treatment options. Our study suggest stakeholders should
accelerate the popularization of peritoneal dialysis technology and
establish the CKD screening and management systems. For self-referral
patients with advanced CKD, our results suggest specialized dialysis
transition care to improve quality of communication and soothe patients’
negative emotion.