Policy and Pandemic: The Changing Practice of Nephrology During the Coronavirus
Disease-2019 Outbreak
#MMPMID33308504
Truong T
; Dittmar M
; Ghaffari A
; Lin E
Adv Chronic Kidney Dis
2020[Sep]; 27
(5
): 390-396
PMID33308504
show ga
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.
|*COVID-19
[MESH]
|*Health Policy
[MESH]
|*Nephrology
[MESH]
|Ambulatory Care Facilities
[MESH]
|Anastomosis, Surgical
[MESH]
|Arteries/surgery
[MESH]
|Blood Vessel Prosthesis Implantation
[MESH]
|Centers for Medicare and Medicaid Services, U.S.
[MESH]
|Computer Security
[MESH]
|Delivery of Health Care/methods/standards
[MESH]
|Disaster Planning
[MESH]
|Health Services Accessibility
[MESH]
|Hemodialysis Solutions/supply & distribution
[MESH]
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