Components of A Successful Peritoneal Dialysis Program.
Although varying widely among different countries and geographic regions, the development of peritoneal dialysis invariably requires a well-established program. Key ingredients for the successful delivery of this therapy include adequate chronic kidney disease education, governmental or nongovernmental reimbursement, qualified physicians and nurses trained in the principles and practice of peritoneal dialysis, clinical management that incorporates an excellent and well-trained peritoneal dialysis team, a feasible and well-designed program for catheter insertion, a sound patient training and follow-up scheme, and continuous quality improvement. Some programs are enhanced by an active clinical research portfolio and other appropriate supportive systems. All of these factors are interlinked and inseparable from one another in ensuring a high-quality peritoneal dialysis program.
Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. Electronic address: yuxq@mail.sysu.edu.cn.
Xueqing
X
Yu
Kidney Research Institute and Harborview Medical Center, Division of Nephrology, University of Washington, Seattle, WA.
Rajnish
R
Mehrotra
Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Xiao
X
Yang
D002681:China; D006291:Health Policy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D009398:Nephrology / Q000193:education*; D064647:Nephrology Nursing / Q000193:education*; D010348:Patient Care Team / Q000458:organization & administration*; D010353:Patient Education as Topic / Q000379:methods / Q000458:organization & administration*; D010530:Peritoneal Dialysis / Q000379:methods*; D016730:Program Development; D058996:Quality Improvement; D012051:Reimbursement Mechanisms; D012648:Self Care
End-stage renal disease; clinical governance; continuous quality improvement; peritoneal dialysis