Starting a home hemodialysis program.
Home hemodialysis is not a new therapy; rather it is a therapy in which interest has been rekindled due to both the continually growing end-stage renal disease population and concern about poor outcomes in patients on conventional thrice-weekly in-center dialysis. The practical issues to be considered when starting a home hemodialysis center are presented, including the choice of equipment, patient selection and training, home set-up, dialysis prescription, and patient follow-up. We outline the steps required to start a program that will be successful for patients, caretakers, and providers alike.
Moran
John
J
WellBound, Inc, Mountain View, California 94041, USA. moranj@wellbound.com
Kraus
Michael
M
D001166:Arteriovenous Shunt, Surgical; D006437:Hemodialysis, Home / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007349:Insurance, Health, Reimbursement; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008004:Licensure; D010353:Patient Education as Topic; D018579:Patient Selection; D011785:Quality Assurance, Health Care