Considerations on equity in management of end-stage kidney disease in low- and middle-income countries

Achievement of equity in health requires development of a health system in which everyone has a fair opportunity to attain their full health potential. The current, large country-level variation in the reported incidence and prevalence of treated end-stage kidney disease indicates the existence of system-level inequities. Equitable implementation of kidney replacement therapy (KRT) programs must address issues of availability, affordability, and acceptability. The major structural factors that impact equity in KRT in different countries are the organization of health systems, overall health care spending, funding and delivery models, and nature of KRT prioritization (transplantation, hemodialysis or peritoneal dialysis, and conservative care).

Source: Kidney International Supplements - February 19, 2020 Category: Urology & Nephrology Authors: Wim Van Biesen, Vivekanand Jha, Ali K. Abu-Alfa, Sharon P. Andreoli, Gloria Ashuntantang, Bassam Bernieh, Edwina Brown, Yuqing Chen, Rosanna Coppo, Cecile Couchoud, Brett Cullis, Walter Douthat, Felicia U. Eke, Brenda Hemmelgarn, Fan Fan Hou, Nathan W. Le Tags: ISN Public Affairs Source Type: research