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

Working Groups of the International Society of Nephrology's 2nd Global Kidney Health Summit

Research output: Contribution to journalReview article

4 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)S1-S33
JournalKidney international
Volume95
Issue number4
DOIs
StatePublished - Apr 1 2019

Fingerprint

Universal Coverage
Chronic Kidney Failure
Health
Dialysis
Transplantation
Health Priorities
Nephrology
Health Policy
Psychological Stress
Ethics
Registries
Industry
Therapeutics
Organizations
Delivery of Health Care
Education
Costs and Cost Analysis

Keywords

  • advocacy
  • conservative care
  • dialysis
  • end-stage kidney disease
  • ESKD
  • funding
  • training
  • transplantation
  • universal health coverage

ASJC Scopus subject areas

  • Nephrology

Cite this

Working Groups of the International Society of Nephrology's 2nd Global Kidney Health Summit (2019). Increasing access to integrated ESKD care as part of universal health coverage. Kidney international, 95(4), S1-S33. https://doi.org/10.1016/j.kint.2018.12.005

Increasing access to integrated ESKD care as part of universal health coverage. / Working Groups of the International Society of Nephrology's 2nd Global Kidney Health Summit.

In: Kidney international, Vol. 95, No. 4, 01.04.2019, p. S1-S33.

Research output: Contribution to journalReview article

Working Groups of the International Society of Nephrology's 2nd Global Kidney Health Summit 2019, 'Increasing access to integrated ESKD care as part of universal health coverage', Kidney international, vol. 95, no. 4, pp. S1-S33. https://doi.org/10.1016/j.kint.2018.12.005
Working Groups of the International Society of Nephrology's 2nd Global Kidney Health Summit. Increasing access to integrated ESKD care as part of universal health coverage. Kidney international. 2019 Apr 1;95(4):S1-S33. https://doi.org/10.1016/j.kint.2018.12.005
Working Groups of the International Society of Nephrology's 2nd Global Kidney Health Summit. / Increasing access to integrated ESKD care as part of universal health coverage. In: Kidney international. 2019 ; Vol. 95, No. 4. pp. S1-S33.
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AU - Jha, Vivekanand

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