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Personal Support Worker (PSW)-supported home hemodialysis: A paradigm shift
Andreas Pierratos1,2,3, Melanie Tremblay1,2, Gokulan Kandasamy2
1Humber River Hospital, Toronto, Ontario, Canada.
Hemodialysis International. International Symposium on Home Hemodialysis
|August 23, 2016
Summary
Paid helper-delivered home hemodialysis (HD) shows promise for increasing patient participation and potentially lowering costs. This approach, utilizing Personal Support Workers, addresses key barriers to home HD adoption.
Area of Science:
- Nephrology
- Public Health Policy
Background:
- Home hemodialysis (HD) offers improved clinical outcomes but faces low utilization globally.
- Patient and family participation barriers hinder widespread adoption of home HD.
Purpose of the Study:
- To evaluate the feasibility and patient acceptance of publicly funded, paid helper-delivered home HD.
- To assess the cost-effectiveness and scalability of this model in Ontario.
Main Methods:
- A pilot project involving six patients receiving home HD with Personal Support Workers (PSWs).
- Addressing regulatory, organizational, and financial challenges for a scalable program.
Main Results:
- Successful implementation of publicly funded PSW-supported home HD.
- Enthusiastic reception from patients and staff; resolution of regulatory and insurance issues.
- Projected lower overall dialysis costs compared to in-center HD at scale.
Conclusions:
- Publicly funded, PSW-supported home HD is a viable and welcomed model.
- This approach has the potential to increase home dialysis utilization, reduce costs, and improve access, especially in underserved areas.
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