ArticleBMJ open2024
How does organisational culture facilitate uptake of home dialysis? An ethnographic study of kidney centres in England.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07364292 (Shared Decision Making in Dialysis Modality Selection), which is not on this map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Shared Decision Making in Dialysis Modality Selection: a Lived Experience From Nephrologists. A Nationwide Qualitative Study.
Who cites it
5 citing papers in PubMed.
- KDIGO Workshop Report on the Implementation and Expansion of Home Hemodialysis in East Asia: A Focus on Hong Kong, Japan, Korea, and Taiwan.Kidney international reports · 2026Article
- Development of 'Location of Dialysis Care in Kidney Life', a service delivery intervention to eliminate unwarranted variation in home dialysis uptake between kidney services and to optimise home dialysis use.BMC health services research · 2026Article
- Factors influencing home dialysis choice in Scandinavia: a cross-sectional study.BMC nephrology · 2026Article
- Cultural Diversity and Kidney Replacement Therapy Outcomes in Australia.Kidney international reports · 2026Article
- Addressing the inequity of access to home Dialysis in Europe: recommendations for action informed by an international consensus exercise.BMC nephrology · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe proportion of people having home dialysis for kidney disease varies considerably by treating centre, socioeconomic deprivation levels in the area and to some extent ethnicity. This study aimed to gain in-depth insights into cultural and organisational factors contributing to this variation in uptake.
designThis is the first ethnographic study of kidney centre culture to focus on home dialysis uptake. The NASSS (non-adoption, abandonment, scale-up, spread, and sustainability) framework was used to map factors that influence the use of home dialysis.
settingWe conducted focused ethnographic fieldwork in four kidney centres in England, with average or high rates of home dialysis use, selected to represent geographic, ethnic and socioeconomic diversity.
participantsObservations of patient consultations, team meetings, patient education and training sessions (n=34); and interviews with staff, patients and carers (n=72).
resultsWe identified three themes that can support the decision to pursue home dialysis: (a)
conclusionsWillingness to pursue dialysis at home relied on patients' and carers' ability to place their confidence in their kidney care teams rather than how services were organised. Our study of kidney centre culture has identified approaches to patient empowerment, access to treatment and readiness for improvement and change that could be incorporated into a service delivery intervention.
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Registered trials
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