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The Rise, Fall, and Resurgence of Home Hemodialysis
Author(s) -
Trinh Emilie,
Chan Christopher T.
Publication year - 2017
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12572
Subject(s) - medicine , home hemodialysis , reimbursement , hemodialysis , dialysis , intensive care medicine , home dialysis , economic growth , surgery , health care , economics
Home hemodialysis ( HD ) was first introduced in the 1960s with a rapid increase in its use due to inability of dialysis units to accommodate patient demand. A sharp decline was subsequently seen with expanding outpatient dialysis facilities and changes in reimbursement policies. In the last decade, with emerging reports of benefits with home HD and more user‐friendly equipment, there has been resurgence in home HD . However, home HD remains underutilized with considerable variations between and within countries. This paper will review the history of home HD , elaborate on its established benefits, identify some of the barriers in uptake of this modality and expand on potential strategies to overcome these barriers.