Hemodialysis at Doorstep - “Hub-and-Spoke” Model of Dialysis in a Developing Country

Sahay, Manisha; Ismal, K; Vali, PS

doi:10.4103/1319-2442.292319

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…All patients below the poverty line are eligible for free medication and health services in government as well as approved private hospitals. Some states have provided free nephrology services including dialysis and transplantation and lifelong immunosuppression whereas in others kidney care has been largely reliant on out-of-pocket expenditure [113]. The recently launched Pradhan Mantri government dialysis program aims to improve equity by providing free dialysis in all states [114].…”

Section: Inequities and Quality Of Kidney Care Across The Globementioning

confidence: 99%

Equity and Quality of Global Chronic Kidney Disease Care: What Are We Waiting for?

Luyckx,

Elmaghrabi,

Sahay

et al. 2023

Am J Nephrol

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Background: Chronic kidney disease (CKD) is an important but insufficiently recognized public health problem. Unprecedented advances in delaying progression of CKD and reducing kidney failure and death have been made in recent years, with the addition of the sodium glucose co-transporter 2 inhibitors and other newer medication to the established standard of care with inhibitors of the renin angiotensin system. Despite knowledge of these effective therapies, their prescription and use remains suboptimal globally, and more specially in low resource settings. Many challenges contribute to this gap between knowledge and translation into clinical care, which is even wider in lower resource settings across the globe. Implementation of guideline-directed care is hampered by lack of disease awareness, late or missed diagnosis, clinical inertia, poor quality care, cost of therapy, systemic biases, and lack of patient empowerment. All of these are exacerbated by the social determinants of health and global inequities. Summary CKD is a highly manageable condition but requires equitable and sustainable access to quality care supported by health policies, health financing, patient and healthcare worker education and affordability of medications and diagnostics. Key Messages The gap between the knowledge and tools to treat CKD and the implementation of optimal quality kidney care should no longer be tolerated. Advocacy, research and action are required to improve equitable access to sustainable quality care for CKD everywhere.

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Section: Inequities and Quality Of Kidney Care Across The Globementioning

confidence: 99%