The Japanese Journal of Clinical Dialysis Vol.30 No.14(3)

Theme Home dialysis 2014 -- HHD and PD
Title Obstacles to start-up of in-home dialysis in Japan
Publish Date 2014/12
Author Noriko Mori Department of Nephrology, Shizuoka General Hospital
[ Summary ] In-home dialysis is one of the most promising modalities for ESKD patients and should be more prevalent for the upcoming aging society. However, penetration rates of PD/HHD use are still very low mainly because of the low recognition of these modalities and patients' high dependency on medical services. Another huge obstruction to the prevalence of its use is the laborious patient training and education before and after initiation of PD/HHD. Implementation of this treatment modality should be rewarded socially and economically.
Although shared use of educational tools and development of easier-to-use devices may reduce the labor of training staffs, economic incentives are indispensable to promote the in-home therapy.
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