The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions

Noman Perves; Maleka Sultana; Nurul Islam; Abdul Wahab Khan; Shamim Ahmed

doi:doi:10.11648/j.ajhr.20241205.13

Research Article |

| Peer-Reviewed

The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions

Noman Perves^*, Maleka Sultana

, Nurul Islam

, Abdul Wahab Khan, Shamim Ahmed

Published in American Journal of Health Research (Volume 12, Issue 5)

Received: 17 August 2024 Accepted: 5 September 2024 Published: 29 September 2024

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

End-Stage Renal Disease (ESRD) presents a critical challenge within the spectrum of Chronic Kidney Disease (CKD) and represents the final stage of CKD, necessitating timely and consistent access to dialysis for patient survival. However, access to dialysis remains significantly constrained in many regions due to a combination of systemic, financial, and infrastructural barriers. This article explores the pivotal role that healthcare administration and policy play in overcoming these challenges to enhance dialysis accessibility for ESRD patients. Multifaceted barriers are there regarding access to dialysis, including the economic burden of treatment, limited availability of dialysis centers, and disparities in healthcare delivery. The analysis then shifts to the policy landscape, discussing existing healthcare policies aimed at expanding dialysis services, as well as gaps that persist in current frameworks. The role of healthcare administration is also scrutinized, particularly in terms of resource allocation, service delivery optimization, and patient education. Through case studies and comparative analysis, it was identified that successful strategies from various regions that have effectively improved access to dialysis. These include public-private partnerships, subsidies, and advancements in telemedicine. The article concludes by offering policy recommendations and administrative strategies tailored to address the unique challenges faced by ESRD patients, emphasizing the need for a collaborative, patient-centered approach in healthcare planning and implementation. By highlighting these key areas, this article aims to provide actionable insights for policymakers, healthcare administrators, and other stakeholders committed to improving dialysis access and, ultimately, patient outcomes for those suffering from ESRD.

Published in	American Journal of Health Research (Volume 12, Issue 5)
DOI	10.11648/j.ajhr.20241205.13
Page(s)	136-144
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

End-Stage Renal Disease (ESRD), Chronic Kidney Disease (CKD), Dialysis, Healthcare Administration, Health Policy, Dialysis Access, Dialysis Challenges, Healthcare Professional in Dialysis

References

[1]	Wang, H., et al. (2021). Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709-733.
[2]	Kovesdy, C. P., et al. (2018). Epidemiology of chronic kidney disease in the United States: a review. Clinical Journal of the American Society of Nephrology, 13(6), 863-873.
[3]	Bleyer, A. J., & Powe, N. R. (2018). End-stage renal disease and dialysis. New England Journal of Medicine, 378, 548-559.
[4]	Kimmel, P. L., & Finkelstein, F. O. (2017). Dialysis: the patient perspective. Seminars in Dialysis, 30(5), 442-448.
[5]	Rahman, M. M., et al. (2020). Barriers to access and quality of care in hemodialysis patients in Bangladesh: A review of the literature. Nephrology Dialysis Transplantation, 35(1), 58-65.
[6]	Tonelli, M., et al. (2021). The role of healthcare systems in improving access to dialysis. Kidney International Supplements, 11(1), 1-10.
[7]	Levin, A., Tonelli, M., & Lu, D. (2021). "The Role of Dialysis in Chronic Kidney Disease: Current Challenges and Future Directions." Kidney International Supplements, 11(1), 1-11. https://doi.org/10.1016/j.kisu.2021.02.001
[8]	Jha, V., Garcia-Garcia, G., Iseki, K., & Li, P. K. T. (2013). "Chronic Kidney Disease: Global Dimension and Perspectives." The Lancet, 382(9888), 260-272. https://doi.org/10.1016/S0140-6736(13)60687-X
[9]	Kliger, A. S., & Silberzweig, J. (2020). "Challenges in Dialysis Care and Solutions: A Comprehensive Review." Clinical Journal of the American Society of Nephrology, 15(10), 1523-1530. https://doi.org/10.2215/CJN.08440620
[10]	Wanner, C., & Jörres, A. (2015). "Socioeconomic Status and Access to Dialysis: A Review." Nephrology Dialysis Transplantation, 30(5), 767-774. https://doi.org/10.1093/ndt/gfu324
[11]	Pisoni, R. L., & Port, F. K. (2021). "Global Disparities in Access to Dialysis: A Review of Regional and National Differences." American Journal of Kidney Diseases, 77(5), 698-710. https://doi.org/10.1053/j.ajkd.2020.10.003
[12]	Shah, A. V., & Johnson, K. S. (2019). "Ethnic and Racial Disparities in Dialysis Access and Outcomes: A Review." Journal of the American Society of Nephrology, 30(5), 836-846. https://doi.org/10.1681/ASN.2018111071
[13]	Kovesdy, C. P., & Mehrotra, R. (2019). "Resource Utilization and Access to Dialysis in the Era of Value-Based Healthcare." Kidney International Reports, 4(10), 1373-1384. https://doi.org/10.1016/j.ekir.2019.06.007
[14]	National Kidney Foundation. (2021). "Improving Access to Dialysis: Policy Recommendations." Retrieved from NKF.
[15]	Fissell, R. B., & Robinson, B. M. (2017). "Coordination of Care in Dialysis: Models and Strategies." American Journal of Kidney Diseases, 70(2), 268-275. https://doi.org/10.1053/j.ajkd.2017.01.019
[16]	Jha, V., & Barsoum, R. S. (2018). "Integrated Care Models for Chronic Kidney Disease: Lessons from the Global Experience." Nephrology Dialysis Transplantation, 33(6), 966-971. https://doi.org/10.1093/ndt/gfx146
[17]	McCullough, K., & Brown, S. R. (2020). "The Role of Health Information Technology in Dialysis Care: Enhancements and Challenges." Health Affairs, 39(11), 1904-1912. https://doi.org/10.1377/hlthaff.2020.00973
[18]	Foley, R. N., & Collins, A. J. (2019). "Patient-Centered Approaches to Dialysis: Enhancing Quality and Outcomes." Clinical Journal of the American Society of Nephrology, 14(2), 222-231. https://doi.org/10.2215/CJN.09500918
[19]	Kimmel, P. L., & Finkelstein, F. O. (2022). "Quality Improvement in Dialysis: Innovations and Best Practices." Kidney360, 3(4), 613-620. https://doi.org/10.34067/KID.0000992022
[20]	Garg, A. X., & Devereaux, P. J. (2021). "Telemedicine in Nephrology: Expanding Access and Enhancing Care." Journal of the American Society of Nephrology, 32(5), 1285-1293. https://doi.org/10.1681/ASN.2020101314
[21]	National Kidney Foundation. (2021). Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease: 2020 Update.
[22]	World Health Organization. (2023). Global Dialysis Market Report 2023.
[23]	Khan, A. R., & Hossain, M. M. (2022). Healthcare Financing and Dialysis Accessibility in Bangladesh: A Review. Bangladesh Journal of Medical Science, 21(2), 120-128.
[24]	United Nations Development Programme. (2023). Health Policy and Financing in Low-Income Countries: Insights and Recommendations.
[25]	Kimmel, P. L., & Rosenberger, J. (2019). Patient-Centered Care and Dialysis Access: Strategies and Outcomes. American Journal of Kidney Diseases, 74(1), 53-61. https://doi.org/10.1053/j.ajkd.2019.01.004
[26]	Lentine, K. L., & Schnitzler, M. A. (2021). Enhancing Patient Education and Empowerment in Dialysis Care. Clinical Journal of the American Society of Nephrology, 16(7), 1105-1112. https://doi.org/10.2215/CJN.01640221
[27]	Hsu, C. Y., & Weiner, I. (2020). Interdisciplinary Collaboration in Kidney Care: Improving Access and Outcomes. Kidney International Reports, 5(10), 1679-1687. https://doi.org/10.1016/j.ekir.2020.06.002
[28]	Kovesdy, C. P., & Kopple, J. D. (2018). The Role of Healthcare Professionals in Managing Dialysis Patients. Seminars in Dialysis, 31(2), 144-152. https://doi.org/10.1111/sdi.12682
[29]	Collins, A. J., Foley, R. N., Chavers, B., et al. (2017). United States Renal Data System 2016 Annual Data Report: Epidemiology of Kidney Disease in the United States. American Journal of Kidney Diseases, 69(3S1), A7–A8. https://doi.org/10.1053/j.ajkd.2016.12.003
[30]	Rocco, M. V., & Daugirdas, J. T. (2017). Technological Innovations in Dialysis. Kidney International Supplements, 7(1), 19-25. https://doi.org/10.1016/j.kisu.2017.09.002
[31]	Tullius, S. G., & Ortiz, R. A. (2020). Advancements in Telehealth for Dialysis Patients. Journal of Nephrology & Therapeutics, 10(3), 123-130. https://doi.org/10.4172/2161-0959.1000320
[32]	Kovesdy, C. P., & Ma, J. Z. (2021). Home Dialysis: The Future of Dialysis Care. Clinical Journal of the American Society of Nephrology, 16(1), 42-51. https://doi.org/10.2215/CJN.03420320
[33]	Liyanage, T., Ninomiya, T., & Jha, V. (2015). Chronic Kidney Disease and the Future of Dialysis: Challenges and Innovations. International Journal of Nephrology, 2015, 1-8. https://doi.org/10.1155/2015/760436
[34]	Kurella M, et al. (2021). Integrated Care Models for ESRD: A Review. Journal of Renal Care, 47(2), 97-106.
[35]	Fischer S, et al. (2022). The German Health System: Efficiency and Access to Dialysis Care. Health Policy, 126(3), 234-242.
[36]	Matsumoto H, et al. (2023). Preventive Strategies for CKD in Japan. Kidney International Reports, 8(1), 45-53.
[37]	Silva M, et al. (2024). Public-Private Partnerships in Dialysis Care: The Brazilian Experience. Brazilian Journal of Nephrology, 46(4), 432-440.

Cite This Article

Plain Text BibTeX RIS

APA Style

Perves, N., Sultana, M., Islam, N., Khan, A. W., Ahmed, S. (2024). The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions. American Journal of Health Research, 12(5), 136-144. https://doi.org/10.11648/j.ajhr.20241205.13

Copy | Download

ACS Style

Perves, N.; Sultana, M.; Islam, N.; Khan, A. W.; Ahmed, S. The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions. Am. J. Health Res. 2024, 12(5), 136-144. doi: 10.11648/j.ajhr.20241205.13

Copy | Download

AMA Style

Perves N, Sultana M, Islam N, Khan AW, Ahmed S. The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions. Am J Health Res. 2024;12(5):136-144. doi: 10.11648/j.ajhr.20241205.13

Copy | Download

@article{10.11648/j.ajhr.20241205.13,
  author = {Noman Perves and Maleka Sultana and Nurul Islam and Abdul Wahab Khan and Shamim Ahmed},
  title = {The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions
},
  journal = {American Journal of Health Research},
  volume = {12},
  number = {5},
  pages = {136-144},
  doi = {10.11648/j.ajhr.20241205.13},
  url = {https://doi.org/10.11648/j.ajhr.20241205.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20241205.13},
  abstract = {End-Stage Renal Disease (ESRD) presents a critical challenge within the spectrum of Chronic Kidney Disease (CKD) and represents the final stage of CKD, necessitating timely and consistent access to dialysis for patient survival. However, access to dialysis remains significantly constrained in many regions due to a combination of systemic, financial, and infrastructural barriers. This article explores the pivotal role that healthcare administration and policy play in overcoming these challenges to enhance dialysis accessibility for ESRD patients. Multifaceted barriers are there regarding access to dialysis, including the economic burden of treatment, limited availability of dialysis centers, and disparities in healthcare delivery. The analysis then shifts to the policy landscape, discussing existing healthcare policies aimed at expanding dialysis services, as well as gaps that persist in current frameworks. The role of healthcare administration is also scrutinized, particularly in terms of resource allocation, service delivery optimization, and patient education. Through case studies and comparative analysis, it was identified that successful strategies from various regions that have effectively improved access to dialysis. These include public-private partnerships, subsidies, and advancements in telemedicine. The article concludes by offering policy recommendations and administrative strategies tailored to address the unique challenges faced by ESRD patients, emphasizing the need for a collaborative, patient-centered approach in healthcare planning and implementation. By highlighting these key areas, this article aims to provide actionable insights for policymakers, healthcare administrators, and other stakeholders committed to improving dialysis access and, ultimately, patient outcomes for those suffering from ESRD.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions

AU  - Noman Perves
AU  - Maleka Sultana
AU  - Nurul Islam
AU  - Abdul Wahab Khan
AU  - Shamim Ahmed
Y1  - 2024/09/29
PY  - 2024
N1  - https://doi.org/10.11648/j.ajhr.20241205.13
DO  - 10.11648/j.ajhr.20241205.13
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 136
EP  - 144
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20241205.13
AB  - End-Stage Renal Disease (ESRD) presents a critical challenge within the spectrum of Chronic Kidney Disease (CKD) and represents the final stage of CKD, necessitating timely and consistent access to dialysis for patient survival. However, access to dialysis remains significantly constrained in many regions due to a combination of systemic, financial, and infrastructural barriers. This article explores the pivotal role that healthcare administration and policy play in overcoming these challenges to enhance dialysis accessibility for ESRD patients. Multifaceted barriers are there regarding access to dialysis, including the economic burden of treatment, limited availability of dialysis centers, and disparities in healthcare delivery. The analysis then shifts to the policy landscape, discussing existing healthcare policies aimed at expanding dialysis services, as well as gaps that persist in current frameworks. The role of healthcare administration is also scrutinized, particularly in terms of resource allocation, service delivery optimization, and patient education. Through case studies and comparative analysis, it was identified that successful strategies from various regions that have effectively improved access to dialysis. These include public-private partnerships, subsidies, and advancements in telemedicine. The article concludes by offering policy recommendations and administrative strategies tailored to address the unique challenges faced by ESRD patients, emphasizing the need for a collaborative, patient-centered approach in healthcare planning and implementation. By highlighting these key areas, this article aims to provide actionable insights for policymakers, healthcare administrators, and other stakeholders committed to improving dialysis access and, ultimately, patient outcomes for those suffering from ESRD.

VL  - 12
IS  - 5
ER  -

Copy | Download

Author Information

Noman Perves

Doctor of Pharmacy, University of Karachi, Patient Access and Device Care, Fresenius Medical Care Bangladesh Limited, Dhaka, Bangladesh

Contact Email
Maleka Sultana

Department of Public Health, Sylhet MAG Osmani Medical College, Nestlé Bangladesh Limited, Dhaka, Bangladesh

Contact Email

http://orcid.org/0000-0002-2828-3247
Nurul Islam

Nephrology United Hospital, Renal Center, United Hospital, Dhaka, Bangladesh

Contact Email

http://orcid.org/0009-0002-0255-3912
Abdul Wahab Khan

Department of Nephrology, Bangladesh Specialized Hospital Ltd, Dhaka, Bangladesh

Contact Email
Shamim Ahmed

National Institute of Kidney Disease and Urology (NIKDU), Dhaka, Bangladesh

Contact Email

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Perves, N., Sultana, M., Islam, N., Khan, A. W., Ahmed, S. (2024). The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions. American Journal of Health Research, 12(5), 136-144. https://doi.org/10.11648/j.ajhr.20241205.13

Copy | Download

ACS Style

Perves, N.; Sultana, M.; Islam, N.; Khan, A. W.; Ahmed, S. The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions. Am. J. Health Res. 2024, 12(5), 136-144. doi: 10.11648/j.ajhr.20241205.13

Copy | Download

AMA Style

Perves N, Sultana M, Islam N, Khan AW, Ahmed S. The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions. Am J Health Res. 2024;12(5):136-144. doi: 10.11648/j.ajhr.20241205.13

Copy | Download

@article{10.11648/j.ajhr.20241205.13,
  author = {Noman Perves and Maleka Sultana and Nurul Islam and Abdul Wahab Khan and Shamim Ahmed},
  title = {The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions
},
  journal = {American Journal of Health Research},
  volume = {12},
  number = {5},
  pages = {136-144},
  doi = {10.11648/j.ajhr.20241205.13},
  url = {https://doi.org/10.11648/j.ajhr.20241205.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20241205.13},
  abstract = {End-Stage Renal Disease (ESRD) presents a critical challenge within the spectrum of Chronic Kidney Disease (CKD) and represents the final stage of CKD, necessitating timely and consistent access to dialysis for patient survival. However, access to dialysis remains significantly constrained in many regions due to a combination of systemic, financial, and infrastructural barriers. This article explores the pivotal role that healthcare administration and policy play in overcoming these challenges to enhance dialysis accessibility for ESRD patients. Multifaceted barriers are there regarding access to dialysis, including the economic burden of treatment, limited availability of dialysis centers, and disparities in healthcare delivery. The analysis then shifts to the policy landscape, discussing existing healthcare policies aimed at expanding dialysis services, as well as gaps that persist in current frameworks. The role of healthcare administration is also scrutinized, particularly in terms of resource allocation, service delivery optimization, and patient education. Through case studies and comparative analysis, it was identified that successful strategies from various regions that have effectively improved access to dialysis. These include public-private partnerships, subsidies, and advancements in telemedicine. The article concludes by offering policy recommendations and administrative strategies tailored to address the unique challenges faced by ESRD patients, emphasizing the need for a collaborative, patient-centered approach in healthcare planning and implementation. By highlighting these key areas, this article aims to provide actionable insights for policymakers, healthcare administrators, and other stakeholders committed to improving dialysis access and, ultimately, patient outcomes for those suffering from ESRD.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - The Role of Healthcare Administration and Policy in Improving Access to Dialysis for ESRD Patients in CKD: Challenges and Solutions

AU  - Noman Perves
AU  - Maleka Sultana
AU  - Nurul Islam
AU  - Abdul Wahab Khan
AU  - Shamim Ahmed
Y1  - 2024/09/29
PY  - 2024
N1  - https://doi.org/10.11648/j.ajhr.20241205.13
DO  - 10.11648/j.ajhr.20241205.13
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 136
EP  - 144
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20241205.13
AB  - End-Stage Renal Disease (ESRD) presents a critical challenge within the spectrum of Chronic Kidney Disease (CKD) and represents the final stage of CKD, necessitating timely and consistent access to dialysis for patient survival. However, access to dialysis remains significantly constrained in many regions due to a combination of systemic, financial, and infrastructural barriers. This article explores the pivotal role that healthcare administration and policy play in overcoming these challenges to enhance dialysis accessibility for ESRD patients. Multifaceted barriers are there regarding access to dialysis, including the economic burden of treatment, limited availability of dialysis centers, and disparities in healthcare delivery. The analysis then shifts to the policy landscape, discussing existing healthcare policies aimed at expanding dialysis services, as well as gaps that persist in current frameworks. The role of healthcare administration is also scrutinized, particularly in terms of resource allocation, service delivery optimization, and patient education. Through case studies and comparative analysis, it was identified that successful strategies from various regions that have effectively improved access to dialysis. These include public-private partnerships, subsidies, and advancements in telemedicine. The article concludes by offering policy recommendations and administrative strategies tailored to address the unique challenges faced by ESRD patients, emphasizing the need for a collaborative, patient-centered approach in healthcare planning and implementation. By highlighting these key areas, this article aims to provide actionable insights for policymakers, healthcare administrators, and other stakeholders committed to improving dialysis access and, ultimately, patient outcomes for those suffering from ESRD.

VL  - 12
IS  - 5
ER  -

Copy | Download