Policy and Pandemic: The Changing Practice of Nephrology During the Coronavirus Disease-2019 Outbreak.
Adv Chronic Kidney Dis
; 27(5): 390-396, 2020 09.
Article
in English
| MEDLINE | ID: covidwho-729001
ABSTRACT
The coronavirus (coronavirus disease-2019) pandemic has changed care delivery for patients with end-stage kidney disease. We explore the US healthcare system as it pertains to dialysis care, including existing policies, modifications implemented in response to the coronavirus disease-2019 crisis, and possible next steps for policy makers and nephrologists. This includes policies related to resource management, use of telemedicine, prioritization of dialysis access procedures, expansion of home dialysis modalities, administrative duties, and quality assessment. The government has already established policies that have instated some flexibilities to help providers focus their response to the crisis. However, future policy during and after the coronavirus disease-2019 pandemic can bolster our ability to optimize care for patients with end-stage kidney disease. Key themes in this perspective are the importance of policy flexibility, clear strategies for emergency preparedness, and robust health systems that maximize accessibility and patient autonomy.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Renal Dialysis
/
Telemedicine
/
COVID-19
/
Health Policy
/
Kidney Failure, Chronic
/
Nephrology
Type of study:
Prognostic study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Adv Chronic Kidney Dis
Journal subject:
Nephrology
Year:
2020
Document Type:
Article
Affiliation country:
J.ackd.2020.06.003
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