Increasing access to integrated ESKD care as part of universal health coverage

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dc.contributor.authorHarris, David C. H.en_ZA
dc.contributor.authorDavies, Simon J.en_ZA
dc.contributor.authorFinkelstein, Fredric O.en_ZA
dc.contributor.authorJha, Vivekananden_ZA
dc.contributor.authorDonner, Jo-Annen_ZA
dc.contributor.authorAbraham, Georgien_ZA
dc.contributor.authorBello, Aminu K.en_ZA
dc.contributor.authorCaskey, Fergus J.en_ZA
dc.contributor.authorGarcia, Guillermo Garciaen_ZA
dc.contributor.authorHarden, Paulen_ZA
dc.contributor.authorHemmelgarn, Brendaen_ZA
dc.contributor.authorJohnson, David W.en_ZA
dc.contributor.authorLevin, Nathan W.en_ZA
dc.contributor.authorLuyckx, Valerie A.en_ZA
dc.contributor.authorMartin, Dominique E.en_ZA
dc.contributor.authorMcCulloch, Mignon I.en_ZA
dc.contributor.authorMoosa, Mohammed Rafiqueen_ZA
dc.contributor.authorO’Connell, Philip J.en_ZA
dc.contributor.authorOkpechi, Ikechi G.en_ZA
dc.contributor.authorFilho, Roberto Pecoitsen_ZA
dc.contributor.authorShah, Kamal D.en_ZA
dc.contributor.authorSola, Lauraen_ZA
dc.contributor.authorSwanepoel, Charlesen_ZA
dc.contributor.authorTonelli, Marcelloen_ZA
dc.contributor.authorTwahir, Ahmeden_ZA
dc.contributor.authorvan Biesen, Wimen_ZA
dc.contributor.authorVarghese, Cherianen_ZA
dc.contributor.authorYang, Chih-Weien_ZA
dc.contributor.authorZuniga, Carlosen_ZA
dc.date.accessioned2021-10-11T10:28:04Z
dc.date.available2021-10-11T10:28:04Z
dc.date.issued2019
dc.descriptionCITATION: Harris, D. C. H. et al. 2019. Increasing access to integrated ESKD care as part of universal health coverage. Kidney International, 95(4):S1 - S33. doi:10.1016/j.kint.2018.12.005
dc.descriptionThe original publication is available at https://www.kidney-international.org/
dc.description.abstractENGLISH 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.en_ZA
dc.description.urihttps://www.kidney-international.org/article/S0085-2538(19)30005-5/fulltext
dc.description.versionPublisher’s version
dc.format.extent33 pages
dc.identifier.urihttp://hdl.handle.net/10019.1/123202
dc.language.isoen_ZAen_ZA
dc.publisherElsevieren_ZA
dc.rights.holderInternational Society of Nephrologyen_ZA
dc.subjectRenal diseases -- Conservative careen_ZA
dc.subjectKidney dialysisen_ZA
dc.subjectEnd-stage kidney diseaseen_ZA
dc.subjectKidney diseases -- Treatmenten_ZA
dc.subjectHealth care policyen_ZA
dc.subjectSurgical transplantationen_ZA
dc.subjectUniversal health coverageen_ZA
dc.subjectMedical care, Cost of -- Kidney diseasesen_ZA
dc.titleIncreasing access to integrated ESKD care as part of universal health coverageen_ZA
dc.typeArticleen_ZA
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