Table 37, Nephrologists’ Support for Various Interventions to Promote the Optimal Use of Home-Based Dialysis (INTEGRATE-HTA Framework) - Dialysis Modalities for the Treatment of End-Stage Kidney Disease: A Health Technology Assessment

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Sinclair A, Cimon K, Loncar M, et al. Dialysis Modalities for the Treatment of End-Stage Kidney Disease: A Health Technology Assessment [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2017 Mar. (CADTH Optimal Use Report, No. 6.2b.)

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Table 37Nephrologists’ Support for Various Interventions to Promote the Optimal Use of Home-Based Dialysis (INTEGRATE-HTA Framework)

Implementation Level	What Nephrologists Support
Provider	Clinical decision support tools to assist with patient selection for home-based dialysis.
Organization and structure	Establishment of a local or regional long-term care facility with capacity for HD and PD provision Quality improvement programs that include feedback for improving local PD and HHD adoption rates and specific centre targets
Funding	Funding for a formal caregiver (nurse) to provide full-care HD or PD at home Funding for nurse-assisted HHD to assist patients specifically with cannulation Funding for utility costs (electricity, water) for HHD
Policy	Policies for mandatory modality education for all patients approaching dialysis (all patients are offered the opportunity to receive HHD or PD).
Patient	Patient education tools about dialysis care and the different dialysis modalities

: HD = hemodialysis; HHD = home-based hemodialysis; PD = peritoneal dialysis.

From: Implementation Issues

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Sinclair A, Cimon K, Loncar M, et al. Dialysis Modalities for the Treatment of End-Stage Kidney Disease: A Health Technology Assessment [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2017 Mar. (CADTH Optimal Use Report, No. 6.2b.) Table 37, Nephrologists’ Support for Various Interventions to Promote the Optimal Use of Home-Based Dialysis (INTEGRATE-HTA Framework)
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