Current Australian paediatric–adult renal transition models Summary for consumers This table describes the medical service, the recommendation(s) of the clinical experts and why the recommendation(s) has been made. Recommendation 1: Very remote dialysis Item What it does Committee recommendation What would be different Why New item The new item will provide funding Introduce a new MBS item (see At present, most Indigenous Having dialysis funding available for – for the delivery of dialysis by nurses, section 4.1 of full report for detail) patients from very remote areas services in very remote areas will very remote dialysis Aboriginal and Torres Strait Islander are forced to move to more urban provide greater access for those health practitioners and Aboriginal areas for dialysis services. This patients, leading to better health workers in very remote areas has large economic and social attendance for dialysis and of Australia. impacts on the patient, family and improved health outcomes. health services. The proposed Dialysis is the process of removing new MBS item would help to waste products and excess fluid address this problem by funding from the body. Dialysis is necessary the delivery of dialysis in when the kidneys are not able to communities in very remote areas. adequately filter the blood Recommendation 2: Medical supervision of dialysis items Item What it does Committee recommendation What would be different Why
Current Australian paediatric–adult renal transition models Summary for consumers This table describes the medical service, the recommendation(s) of the clinical experts and why the recommendation(s) has been made. Recommendation 1: Very remote dialysis Item What it does Committee recommendation What would be different Why New item – very remote dialysis The new item will provide funding for the delivery of dialysis by nurses, Aboriginal and Torres Strait Islander health practitioners and Aboriginal health workers in very remote areas of Australia. Dialysis is the process of removing waste products and excess fluid from the body. Dialysis is necessary when the kidneys are not able to adequately filter the blood Introduce a new MBS item (see section 4.1 of full report for detail) At present, most Indigenous patients from very remote areas are forced to move to more urban areas for dialysis services. This has large economic and social impacts on the patient, family and health services. The proposed new MBS item would help to address this problem by funding the delivery of dialysis in communities in very remote areas. Having dialysis funding available for services in very remote areas will provide greater access for those patients, leading to better attendance for dialysis and improved health outcomes. Recommendation 2: Medical supervision of dialysis items Item What it does Committee recommendation What would be different Why