Harris, DCH, Davies, SJ, Finkelstein, FO, Jha, V, Donner, J-A, Abraham, G, Bello, AK, Caskey, FJ, Garcia, GG, Harden, P, Hemmelgarn, B, Johnson, DW, Levin, NW, Luyckx, VA, Martin, DE, McCulloch, MI, Moosa, MR, O'Connell, PJ, Okpechi, IG, Pecoits Filho, R, Shah, KD, Sola, L, Swanepoel, C, Tonelli, M, Twahir, A, van Biesen, W, Varghese, C, Yang, C-W, Zuniga, C and Working Groups of the International Society of Nephrology’s 2nd, . (2019) Increasing access to integrated ESKD care as part of universal health coverage. Kidney International, 95 (4S). S1 - S33.

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Abstract

The global nephrology community recognizes the need for a cohesive strategy to address the growing problem of end-stage kidney disease (ESKD). In March 2018, the International Society of Nephrology hosted a summit on integrated ESKD care, including 92 individuals from around the globe with diverse expertise and professional backgrounds. The attendees were from 41 countries, including 16 participants from 11 low- and lower-middle-income countries. The purpose was to develop a strategic plan to improve worldwide access to integrated ESKD care, by identifying and prioritizing key activities across 8 themes: (i) estimates of ESKD burden and treatment coverage, (ii) advocacy, (iii) education and training/workforce, (iv) financing/funding models, (v) ethics, (vi) dialysis, (vii) transplantation, and (viii) conservative care. Action plans with prioritized lists of goals, activities, and key deliverables, and an overarching performance framework were developed for each theme. Examples of these key deliverables include improved data availability, integration of core registry measures and analysis to inform development of health care policy; a framework for advocacy; improved and continued stakeholder engagement; improved workforce training; equitable, efficient, and cost-effective funding models; greater understanding and greater application of ethical principles in practice and policy; definition and application of standards for safe and sustainable dialysis treatment and a set of measurable quality parameters; and integration of dialysis, transplantation, and comprehensive conservative care as ESKD treatment options within the context of overall health priorities. Intended users of the action plans include clinicians, patients and their families, scientists, industry partners, government decision makers, and advocacy organizations. Implementation of this integrated and comprehensive plan is intended to improve quality and access to care and thereby reduce serious health-related suffering of adults and children affected by ESKD worldwide.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via Elsevier at https://doi.org/10.1016/j.kint.2018.12.005 - Please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: advocacy; conservative care; dialysis; end-stage kidney disease; ESKD; funding; training; transplantation; universal health coverage
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC902 Nephrology
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
Related URLs:
Depositing User: Symplectic
Date Deposited: 01 Apr 2019 10:11
Last Modified: 08 Apr 2019 08:11
URI: http://eprints.keele.ac.uk/id/eprint/6128

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