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Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba?
Josée G Lavoie1, James Zacharias2, Joseph Kaufert1
1Professor, University of Manitoba, Winnipeg, MB.
Healthcare Policy = Politiques De Sante
|July 20, 2019
Summary
Few First Nations patients in Manitoba use home peritoneal dialysis (PD) due to barriers like distrust and housing issues. An assisted PD model may help overcome these challenges for end-stage kidney disease patients.
Area of Science:
- Nephrology
- Indigenous Health
- Public Health
Background:
- End-stage kidney disease (ESKD) significantly affects First Nations (FN) populations.
- Home peritoneal dialysis (PD) offers mobility but has low uptake among Manitoba FN patients.
Purpose of the Study:
- To explore the experiences of Manitoba FN patients with PD.
- To identify barriers and enablers for expanding PD in rural and remote FN communities.
Main Methods:
- Qualitative analysis of interviews.
- Participants included 14 individuals with ESKD, 14 family caregivers, and 27 healthcare providers/administrators.
Main Results:
- Key barriers to PD include medical suitability, patient distrust of home treatments, and fear of self-management.
- Limited family support and inadequate housing also hinder PD adoption.
Conclusions:
- Assisted peritoneal dialysis (APD), featuring centralized supplies and peer support, is a promising model.
- APD could potentially mitigate current barriers and improve PD accessibility for FN patients.
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