{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:48:26Z","timestamp":1766450906860,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,7,4]],"date-time":"2021-07-04T00:00:00Z","timestamp":1625356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The prevalence of chronic kidney disease (CKD) is on the rise due to population aging and multimorbidity. Taiwan is particularly afflicted by this prevailing ailment. Although multidisciplinary pre\u2010dialysis care has been implemented to halt CKD progression and reduce health\u2010care utilization in Taiwan, more is needed to reduce the local burden of CKD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Taiwan Joint Commission initiated a kidney\u2010care disease\u2010specific care (DSC) certification program since 2017, aiming to improve participating hospitals' quality of care for kidney disease and to synchronize the quality of kidney care across Taiwan. We analysed the trend of changes over time among the kidney DSC certification program participating institutes during the period before, during, and after DSC certification program implementation, using the Generalized Estimating Equation methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 20 institutes participated in the DSC certification program focusing on kidney diseases between January 2018 and March 2020, among which 70% were medical centres. DSC certification program was shown to significantly reduce the annual incidence of arteriovenous fistula reconstruction while increase the levels of serum albumin and haemoglobin among patients with end\u2010stage renal disease (ESRD) under haemodialysis over time. For parameters related to peritoneal dialysis (PD), participating in the kidney\u2010care DSC certification program significantly increased serum albumin levels among these patients with ESRD over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this study, we discovered that a kidney\u2010care DSC certification program significantly improved multiple performance indicators of participating institutes including patients' haemoglobin, albumin, and shunt re\u2010creation probability among patients with end\u2010stage renal disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.13901","type":"journal-article","created":{"date-parts":[[2021,5,15]],"date-time":"2021-05-15T07:33:45Z","timestamp":1621064025000},"page":"669-675","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of a kidney\u2010specific disease\u2010specific care certification program on the institutional performance indicators of hospitals caring for patients with chronic kidney disease: A\u2009national data analysis"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2892-7986","authenticated-orcid":false,"given":"Chia\u2010Ter","family":"Chao","sequence":"first","affiliation":[{"name":"Nephrology Division, Department of Internal Medicine National Taiwan University Hospital BeiHu Branch  Taipei Taiwan"},{"name":"Nephrology Division, Department of Internal Medicine National Taiwan University College of Medicine  Taipei Taiwan"},{"name":"Graduate Institute of Toxicology, National Taiwan University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching\u2010I","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Quality Improvement Joint Commission of Taiwan  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pa\u2010Chun","family":"Wang","sequence":"additional","affiliation":[{"name":"Chief Executive Officer Office, Joint Commission of Taiwan  Taipei Taiwan"},{"name":"Quality Management Center, Cathay General Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching\u2010Feng","family":"Chiang","sequence":"additional","affiliation":[{"name":"Chief Executive Officer Office, Joint Commission of Taiwan  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia\u2010Pei","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Quality Improvement Joint Commission of Taiwan  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui\u2010Shu","family":"Hsu","sequence":"additional","affiliation":[{"name":"Chief Executive Officer Office, Joint Commission of Taiwan  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuan\u2010Yu","family":"Hung","sequence":"additional","affiliation":[{"name":"Nephrology Division, Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,4]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_7_2_1","DOI":"10.1016\/S0140-6736(16)32064-5"},{"issue":"4","key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"S205","DOI":"10.1016\/S0272-6386(03)80018-5","article-title":"International comparisons","volume":"41","author":"United States Renal Database System","year":"2003","journal-title":"Am J Kidney 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