Barriers to Kidney Transplant in Dialysis Clinics
Author Information
Author(s): McDonnell Jenny, Idler Ellen, Wilk Adam
Primary Institution: Emory University
Hypothesis
How do dialysis care professionals' resource allocation decisions affect patients' access to kidney transplants?
Conclusion
Dialysis care professionals tend to allocate resources preferentially to 'ideal' patients, which may limit access for those who need it most.
Supporting Evidence
- Only one-third of patients with kidney failure are referred for transplant evaluation.
- DCPs reported a tension between their referral philosophies and actual practices.
- DCPs described 'ideal' patients as compliant and motivated.
Takeaway
Doctors at dialysis clinics often help some patients more than others, which can make it harder for some people to get a kidney transplant.
Methodology
In-depth interviews with dialysis care professionals were conducted and analyzed using a modified grounded theory approach.
Potential Biases
Potential bias in DCPs' self-reported referral practices.
Limitations
The study is based on interviews, which may not capture all perspectives or experiences.
Participant Demographics
Dialysis care professionals including nephrologists, social workers, and nurses.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website