Table 2.
Global models of assisted PD delivery
| Country | Non-family assistance | Model of care | Comments |
|---|---|---|---|
| France [10] | Community nurses | Mostly CAPD 3–4 visits; some APD 2 visits | 51% incident patients on assisted PD: 82% nurse (funded by healthcare system) and 18% family |
| Denmark [11, 12] | Community nurses or nursing home staff | Predominantly APD with 2 visits | Assisted programme also used to support urgent start PD—funded by healthcare system |
| Ontario, Canada [12, 13] | Community nurses | APD 1–2 visits/day | Funded by healthcare system; many also have access to integrated geriatric care |
| British Columbia, Canada [14] | Community non-healthcare professionals with PD training | APD 1 visit/day | Trial in one centre; funded by healthcare system |
| UK [15] | Non-healthcare professionals with PD training | Predominantly APD 1 visit/day; 2 visits/day APD or CAPD supported in some centres | Assistants predominantly from healthcare agency organized by commercial supplier of PD fluid; some units employ own assistants; funded by healthcare system |
| Brazil [16] | Nurse assistant | APD 1–2 visits/day | Single centre experience; asPD funded by renal centre as not reimbursed by public healthcare system |
| China [17, 18] | Home care assistant, younger PD patients | CAPD 3–4 exchanges | Funded by family/patient; some centres train younger PD patients to assist older ones |