Establishing a Home Program

In the absence of established guidelines, let us review the commonalities of successful programs:

General principles:

Universally practiced guidelines
Important variations based on reimbursement, availability of services and personnel, and cultural differences

The aim is the preservation of individual freedoms and the opportunity to self-administer PD or HHD in the patient’s own environment.  Moving the patient from the controlled environment of the dialysis center to their home removes boundaries and shifts accountability from healthcare provider to the patient.  Despite the advantages of home dialysis, it is recognized that many patients are unable or unwilling to perform dialysis at home regardless of our efforts.

This module is a segment of a more complete publication and is used with permission from Blood Purification1.


  1. Diaz-Buxo JA, Crawford-Bonadio TL, St Pierre D, Ingram KM: Establishing a successful home dialysis program. Blood Purif 24:22-27, 2006