Table 3.
Suggestions for addressing gender disparities in access to kidney transplantation
| Domain | Suggestions |
|---|---|
| Education and communication | • Provide information, i.e., culturally sensitive and considers the health literacy and language of patients • Address ways to access kidney transplant in the context of the caregiving role and other family responsibilities • Facilitate access to an interpreter or advocate (same gender/background if appropriate) for patients to support communication and decision making • Develop targeted strategies that support patients in decision making about kidney transplant • Discuss concerns about changes in appearance and body image that may occur after kidney transplantation • Provide resources or referrals to multidisciplinary clinicians for lifestyle management for transplant eligibility |
| Family and peer support | • Help patients to identify a support person, if possible • Encourage and provide resources for family members in supporting patients |
| Practical support | • Discuss options for childcare (partnerships between health care systems and community-based childcare organizations) • Facilitate access to transplant to clinic (provide a free-cost transport services to patients or reimburse the parking cost) |
| Financial aid | • Advocate for financial aid (e.g., health insurance for women, paid leave for donors) to access kidney transplantation |