'Kidney Team at Home' Posted by Admin on Oktober 2016
It is a pleasure to announce that Sohal Ismail and Jan van Busschbach have received two grants for implementing the ‘Kidney Team at Home’ (Nierteam aan Huis) project on a national level. The first
grant of 1.7M Euro is a joint venture with the department of Internal Medicine, section Nephrology and Transplantation, and is subsidized by the Zorgverzekeraars Nederland. Sohal and Jan will use 157k
Euro of the 1.7M Euro for project coordination (see description below). The second grant of 251k Euro will be used to investigate the cost-effectiveness of the ‘Kidney Team at Home’
interventions; this grant is provided by the Nierstichting.
Implementation of ‘Kidney Team at Home’: A Home-based Educational Intervention.
The implementation of this program is based on the favourable results of a previous RCT during 2010-2014 at the Erasmus MC. Results showed that home-based educational interventions support well-informed decision making among renal patients and their social network and that the number of living donor kidney transplantations increases. The implementation of the intervention: dialysis patients and their family/friends will receive two home visits in addition to regular hospital information. The aim of this intervention is to provide broad and neutral information on kidney disease, dialysis, kidney transplantation and living kidney donation while highlighting the psychosocial aspects. Central to this intervention will be the promoting of communication between the patient and his/her social network regarding the different forms of treatment, of which transplantation with a kidney for a living donor is the most optimal. For this intervention the communication model and skills as elaborated in ‘multi-system therapy’ (MST) will be used. The objective of this implementation project is to map the generalizability while maintaining quality, by creating a secure framework and quality checks.
The second project will use data from the national implementation study and will be conducted by a PhD student in Health Economics. In order to make a confinable plea that nationwide investments in the educational programs is justifiable, the balance between costs and effects has to be established with a formal cost-effectiveness analysis. The aim is to execute a formal cost-effectiveness analysis on the basis of the national guideline for cost-effectiveness analyses. If the implementation of the home-bases intervention is effectively employed, it is likely that the number of patients on the waiting list for transplantation will drop. The model that will be used is a so called ‘dynamic population model’; the model will estimate these changing needs, and can therefore help to guide long term investments in dialysis centres and transplantation facilities.