Development of a framework for minimum and optimal safety and quality standards for hemodialysis and peritoneal dialysis
- PMID: 32149009
- PMCID: PMC7031684
- DOI: 10.1016/j.kisu.2019.11.009
Development of a framework for minimum and optimal safety and quality standards for hemodialysis and peritoneal dialysis
Abstract
Substantial heterogeneity in practice patterns around the world has resulted in wide variations in the quality and type of dialysis care delivered. This is particularly so in countries without universal standards of care and governmental (or other organizational) oversight. Most high-income countries have developed such oversight based on documentation of adherence to standardized, evidence-based guidelines. Many low- and lower-middle-income countries have no or only limited organized oversight systems to ensure that care is safe and effective. The implementation and oversight of basic standards of care requires sufficient infrastructure and appropriate workforce and financial resources to support the basic levels of care and safety practices. It is important to understand how these standards then can be reasonably adapted and applied in low- and lower-middle-income countries.
Keywords: hemodialysis; minimum safety standards; peritoneal dialysis; quality of care.
© 2020 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.
Comment in
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The second Global Kidney Health Summit outputs: developing a strategic plan to increase access to integrated end-stage kidney disease care worldwide.Kidney Int Suppl (2011). 2020 Mar;10(1):e1-e2. doi: 10.1016/j.kisu.2019.09.001. Epub 2020 Feb 19. Kidney Int Suppl (2011). 2020. PMID: 32154795 Free PMC article. No abstract available.
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