Barriers to home dialysis: Unraveling the tapestry of policy

摘要: Home dialysis use as a treatment for end-stage kidney disease varies locally, nationally, and internationally. There is call to action in the United States significantly increase access uptake of home preferred option. Although most do not object patient choice modality selection, reality that there are multilevel barriers both obvious subtle interfere with expanding access. Financial how payment structured continue be key drivers, although new models care emerging include first time incentives rather than penalties regarding dialysis. Resources support implementation expert personnel requiring educational training. Policies training curriculum content only specified within nephrology but also these multidisciplinary providers requisite successful ensure professional expertise ready available, cultivate champions broader community. Perhaps importantly, innovation through expanded investment research necessary advance practices, elevate quality, improve outcomes. Policy variety sectors at local, regional, national, international levels has potential drastically drive expansion increasing success