Skip to main content

The Demand for Home-Based Dialysis Post COVID-19

  • Chapter
  • First Online:
From Industry 4.0 to Industry 5.0

Abstract

Things have changed since the COVID-19 pandemic started. Patient with end-stage kidney disease are known to be immunocompromised. With COVID-19 situation, dialysis centres are high-risk area and Singapore’s dialysis centres are not designed for pandemic and staffs are not fully trained to handle such a situation. Since the outbreak of COVID-19, nephrologists have come together to set up protocols to manage the dialysis patients during this pandemic. This raises the questions whether there is a more efficient and safe way for patient to do their dialysis. This research aimed to study whether there is an increase in demand for Home-based Haemodialysis (HD) after COVID-19. This will help to ascertain the need for new business opportunity for Home-based HD in Singapore. The current machines available is too big and expensive for patient to do at home. There is opportunity for company to launch newer and compact HD machines for Home-based HD. A total of 109 surveys were conducted from 30 doctors and 79 nurses from between 26th October 2020 and 11th November 2020. Results shows that there an increase in behavioural shift to choose Home-based HD dialysis compared to post COVID-19. Home-based HD has been proven previously of its clinical and quality of life benefit. The uptake of Home-based HD is still low in Singapore. It is recommended that a larger scale of research need to be conducted in Singapore to further prove the need to increase Home-based HD modality.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. National Health Survey.: National health survey 2010 Singapore. Epidemiology and Disease Control Division, Ministry of Health, Singapore. Retrieved from https://www.moh.gov.sg/docs/librariesprovider5/resources-statistics/reports/nhs2010 (2010)

  2. Khor, L., Ghim, A., Ms, S., Cai, G., Ng, M., Nyunt, W., Wong, M., Foong, S., Manager, D., Ng, M. A., Ms, B., Huili, Z., Foo, D., Group, L.L., Ling, A.: National Registry of Diseases Office Registry Coordinators (2021)

    Google Scholar 

  3. Chan, C.T., Wallace, E., Golper, T.A., Rosner, M.H., Seshasai, R.K., Glickman, J.D., Schreiber, M., Gee, P., Rocco, M.V.: Exploring barriers and potential solutions in home dialysis: An NKF-KDOQI conference outcomes report. Am. J. Kidney Dis. 73(3), 363–371 (2019)

    Article  Google Scholar 

  4. Ouwendyk, M., Pierratos, A.: Reflecting on 14 years of nocturnal home hemodialysis in Canada. CANNT J. J. ACITN 18(3), 55–57 (2008)

    Google Scholar 

  5. Perl, J., Chan, C.T.: Home hemodialysis, daily hemodialysis, and nocturnal hemodialysis: Core Curriculum 2009. Am. J. Kidney Dis. 54(6), 1171–1184 (2009)

    Article  Google Scholar 

  6. Rayment, G.A., Bonner, A.: Daily dialysis: Exploring the impact for patients and nurses. Int. J. Nurs. Pract. 14(3), 221–227 (2008)

    Article  Google Scholar 

  7. Manns, B., Agar, J.W.M., Biyani, M., Blake, P.G., Cass, A., Culleton, B., Kleophas, W., Komenda, P., Lobbedez, T., MacRae, J.: Can economic incentives increase the use of home dialysis? Nephrol. Dial. Transplant. 34(5), 731–741 (2019)

    Article  Google Scholar 

  8. Morton, R.L., Devitt, J., Howard, K., Anderson, K., Snelling, P., Cass, A.: Patient views about treatment of stage 5 CKD: A qualitative analysis of semistructured interviews. Am. J. Kidney Dis. 55(3), 431–440 (2010)

    Article  Google Scholar 

  9. Walker, R.C., Howard, K., Morton, R.L., Palmer, S.C., Marshall, M.R., Tong, A.: Patient and caregiver values, beliefs and experiences when considering home dialysis as a treatment option: A semi-structured interview study. Nephrol. Dial. Transplant. 31(1), 133–141 (2016)

    Article  Google Scholar 

  10. Walker, R.C., Howard, K., Morton, R.L.: Home hemodialysis: a comprehensive review of patient-centered and economic considerations. ClinicoEcon. Outcomes Res.: CEOR 9, 149 (2017)

    Article  Google Scholar 

  11. Spoorthy, M.S., Pratapa, S.K., Mahant, S.: Mental health problems faced by healthcare workers due to the COVID-19 pandemic—a review. Asian J. Psychiatr. 51, 102119 (2020)

    Article  Google Scholar 

  12. Tong, A., Palmer, S., Manns, B., Craig, J.C., Ruospo, M., Gargano, L., Johnson, D.W., Hegbrant, J., Olsson, M., Fishbane, S.: Clinician beliefs and attitudes about home haemodialysis: A multinational interview study. BMJ Open 2(6), e002146 (2012)

    Article  Google Scholar 

  13. Tai, J.: NKF to raise subsidies to encourage home dialysis. The Strait Times. https://www.asiaone.com/singapore/nkf-raise-subsidies-encourage-home-dialysis?amp (2015)

  14. Yoo, J., Ruppar, T., Wilbur, J., Miller, A., Westrick, J.C.: Effects of home-based exercise on frailty in patients with end-stage renal disease: Systematic review. Biol. Res. Nurs. 24(1), 48–63 (2022)

    Article  Google Scholar 

  15. Ministry of Health.: Ministry of Health. Chronic Disease Management Programme. https://www.moh.gov.sg/policies-and-legislation/chronic-disease-management-programme-(cdmp) (2020)

  16. Ramirez, S.P.B.: Chronic kidney disease prevention in Singapore. Clin. J. Am. Soc. Nephrol. 3(2), 610–615 (2008)

    Article  Google Scholar 

  17. Davies, S.J., Phillips, L., Griffiths, A.M., Russell, L.H., Naish, P.F., Russell, G.I.: What really happens to people on long-term peritoneal dialysis? Kidney Int. 54(6), 2207–2217 (1998)

    Article  Google Scholar 

  18. Pajek, J., Hutchison, A.J., Bhutani, S., Brenchley, P.E.C., Hurst, H., Perme, M.P., Summers, A.M., Vardhan, A.: Outcomes of peritoneal dialysis patients and switching to hemodialysis: A competing risks analysis. Perit. Dial. Int. 34(3), 289–298 (2014)

    Article  Google Scholar 

Download references

Statements and Declarations

Funding

The authors declare that no funds, grants, or other support were received during the prepara-tion of this manuscript.

Competing Interests

Author Karen Ng Meng Liang is employed by Fresenius Medical Care, Singapore. The other authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Author Contributions

Each named author has substantially contributed to conducting the underlying research and drafting this manuscript. All authors read and approved the final manuscript.

Human and animal rights

This article does not contain any studies with human or animal subjects performed by any of the authors.

Consent to participate

Informed consent was obtained from all individual participants included in the study.

Informed consent

All study participants provided informed consent.

Data Availability Statement

The authors confirm that all data generated or analyzed during this study are included in this published article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nishad Nawaz .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rangaswamy, E., Liang, K.N.M., Nawaz, N. (2023). The Demand for Home-Based Dialysis Post COVID-19. In: Hamdan, A., Harraf, A., Buallay, A., Arora, P., Alsabatin, H. (eds) From Industry 4.0 to Industry 5.0. Studies in Systems, Decision and Control, vol 470. Springer, Cham. https://doi.org/10.1007/978-3-031-28314-7_27

Download citation

Publish with us

Policies and ethics