Identifying Major Barriers to Home Dialysis (The IM-HOME Study): Findings From a National Survey of Patients, Care Partners, and Providers

Reddy, Yuvaram N.V.; Kearney, Matthew D.; Ward, Michaela; Burke, Robert E.; O’Hare, Ann M.; Reese, Peter P.; Lane-Fall, Meghan B.; Jones, Jennifer; Liu, Frank; Martin, Ashley; McGraw, April; Neumann, Joanna; Pettis, Amber; Salenger, Page

doi:10.1053/j.ajkd.2024.04.007

American Journal of Kidney Diseases

2024

DOI: 10.1053/j.ajkd.2024.04.007

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Identifying Major Barriers to Home Dialysis (The IM-HOME Study): Findings From a National Survey of Patients, Care Partners, and Providers

Yuvaram N.V. Reddy,

Matthew D. Kearney,

Michaela Ward

et al.

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International equity in access to home dialysis

Iyengar,

Kalyesubula,

Darwish

et al. 2024

Current Opinion in Nephrology &Amp; Hypertension

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Purpose of review Discussion of inequalities and inequities in global distribution of and access to home dialysis. Recent findings The majority of patients receiving home dialysis receive peritoneal dialysis, but these are concentrated in few countries across the globe. Peritoneal dialysis as the most common form of home dialysis has many advantages in terms of individual freedoms, similar outcomes to haemodialysis, being less costly in some countries, and more scalable than in-centre haemodialysis. Despite this there are many inequities in access at the patient, clinician, health system and geopolitical levels. Poverty, discrimination and lack of support at home are important drivers of inequities at the patient level. At the clinician and health systems level lack of experience in home dialysis, lack of resources and lack of time drive patients towards in-centre dialysis. At the geopolitical level, high costs associated with procurement and distribution of peritoneal dialysis solutions exacerbate inequities in access. Summary The challenge of reducing global inequities in access to home dialysis in low- and middle-income countries are vast and would require training of the doctors, nurses, families, patients, leaders and community partners. Once this is achieved, dealing with costs and logistics of supplies is crucial to improve and sustain equitable access.

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International equity in access to home dialysis

Iyengar,

Kalyesubula,

Darwish

et al. 2024

Current Opinion in Nephrology &Amp; Hypertension

View full text Add to dashboard Cite

show abstract

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Identifying Major Barriers to Home Dialysis (The IM-HOME Study): Findings From a National Survey of Patients, Care Partners, and Providers

Cited by 1 publication

References 38 publications

International equity in access to home dialysis

International equity in access to home dialysis

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