TY - JOUR
T1 - Increasing access to integrated ESKD care as part of Universal Health Coverage
AU - Harris, David C.H.
AU - Davies, Simon J.
AU - Finkelstein, Fredric O.
AU - Jha, Vivekanand
AU - Donner, Jo Ann
AU - Abraham, Georgi
AU - Bello, Aminu K.
AU - Caskey, Fergus J.
AU - Garcia, Guillermo Garcia
AU - Harden, Paul
AU - Hemmelgarn, Brenda
AU - Johnson, David W.
AU - Levin, Nathan W.
AU - Luyckx, Valerie A.
AU - Martin, Dominique E.
AU - McCulloch, Mignon I.
AU - Moosa, Mohammed Rafique
AU - O'Connell, Philip J.
AU - Okpechi, Ikechi G.
AU - Pecoits Filho, Roberto
AU - Shah, Kamal D.
AU - Sola, Laura
AU - Swanepoel, Charles
AU - Tonelli, Marcello
AU - Twahir, Ahmed
AU - van Biesen, Wim
AU - Varghese, Cherian
AU - Yang, Chih Wei
AU - Zuniga, Carlos
AU - Abu Alfa, Ali K.
AU - Aljubori, Harith M.
AU - Alrukhaimi, Mona N.
AU - Andreoli, Sharon P.
AU - Ashuntantang, Gloria
AU - Bellorin-Font, Ezequiel
AU - Bernieh, Bassam
AU - Ibhais, Fuad M.
AU - Blake, Peter G.
AU - Brown, Mark
AU - Brown, Edwina
AU - Bunnag, Sakarn
AU - Chan, Tak Mao
AU - Chen, Yuqing
AU - Claure-Del Granado, Rolando
AU - Claus, Stefaan
AU - Collins, Allan
AU - Couchoud, Cecile
AU - Cueto-Manzano, Alfonso
AU - Walker, Rachael C.
AU - Walker, Robert
AU - Working Groups of the International Society of Nephrology's 2nd Global Kidney Health Summit
N1 - Conference paper presented at ISN’s 2nd Global Kidney Health Summit
PY - 2019/4/1
Y1 - 2019/4/1
N2 - 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.
AB - 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.
KW - advocacy
KW - conservative care
KW - dialysis
KW - end-stage kidney disease
KW - ESKD
KW - funding
KW - training
KW - transplantation
KW - universal health coverage
UR - http://www.scopus.com/inward/record.url?scp=85062683860&partnerID=8YFLogxK
U2 - 10.1016/j.kint.2018.12.005
DO - 10.1016/j.kint.2018.12.005
M3 - Review article (Academic Journal)
C2 - 30904051
AN - SCOPUS:85062683860
SN - 0085-2538
VL - 95
SP - S1-S33
JO - Kidney International
JF - Kidney International
IS - 4S
ER -