Home Dialysis for Patients with End-Stage Renal Disease

This is a jurisdictional scan of implementation strategies, programs, and practices used in Canadian health systems and in select international jurisdictions to increase the uptake of home dialysis by healthcare providers and patients. The scan also explored physician remuneration models, as well as barriers and facilitators to home dialysis when available.

The number of people on long-term dialysis is steadily increasing in Canada, yet use of home-based dialysis treatments remains significant low. This is a lost opportunity to decrease health system burden and improve quality of life for patients. Therefore, the Government of Newfoundland and Labrador is leading ongoing transformations of its health system to improve access to and encourage use of home-based treatment modalities. This jurisdictional scan will be used to inform strategies, practices, and programs to increase the uptake of home dialysis by both healthcare providers and patients.